THE COOPER LAW FIRM

Seller Name

Property Address

StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Closing Date

Social Security Number

Phone Number

E-mail

Forwarding Address

StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

First Mortgage Holder:
  Mortgage Holder Name
 
  Loan Number
 
  Phone Number
 

Second Mortgage Holder:
  Mortgage Holder Name
 
  Loan Number
 
  Phone Number
 

Homeowners Association?
YesNo

  If yes, please provide amount due, if there are any transfer/ initiation fees and the due date of payment:

   Due Date:
  
   Fees:
  
   Amount Due:
  
   Payable to:
  
   Telephone number and/or email address:
  
  
   Address to mail payments:
  
   StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Are you going through bankruptcy?
YesNo

Are you going through Foreclosure or are you behind on mortgage payments?
YesNo

Is the property tax value under appeal?
YesNo

Are you divorced from someone who currently or previously lived in the property with you?
YesNo

  If yes, please provide a copy of divorce decree and settlement agreement.
 

Is anyone that is listed on the title of the home deceased?
YesNo
  If yes, please provide a copy of death certificate and any probate information.
 

Are you an LLC, partnership, trust or corporation?
YesNo
  If so, please provide the following as applicable to your entity:
   LLC- A copy of the Operating Agreement and/or Corporate Resolution authorizing signer.
  
   Corporation- A copy of the By-Laws and/or Corporate Resolution authorizing signer.
  
   Trust- A copy of the Abstract of Trust.
  
   Partnership- A copy of the partnership agreement.
  

Is there a Power of Attorney or will you be needing a Power of Attorney drafted for the sale of this property?
Our fee for drafting and recording a Power of Attorney is $60.00.
I do not need a Power of AttorneyI need you to draft a Power of AttorneyI already have a Power of Attorney

  Name of Power of Attorney:
 
  Their current address:
 
  StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
  Phone Number:
 
  If one is already drafted and signed, please provide a copy immediately and bring us the original at or before closing.
 

  We will need the original Power of Attorney to close.

If you CANNOT attend closing, will you need documents to be mailed-out to you? The fee for this is $150.00.
I will attend the closing, I will not need the documents mailed to meI cannot attend closing and I need the documents mailed to me

  If you need the the documents mailed to you, are you able to receive emails, print and scan documents instead?
  N/AYesNo
   If so, please provide email address to send documents to:
  
   If no, you cannot receive closing documents via email, please provide the physical address of where you will want us to send the documents to:
  
   StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming