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Buyer / Borrower Information Form

(Simple Note) Buyer/Borrower Information Form

Subject Property Information

Note: This is the address of the property being purchased.

**Note: If HOA approval is required, the buyer(s) name(s) on the HOA approval letter MUST match the contract, lender, and title documents. A copy of the approval letter must be faxed or emailed before closing for approval. 

Buyers Agent Information

Buyer #1 Information

Buyer(s) name(s) as they appear on the contract, title policy, and Deed. If the name(s) do not match the contract an Addendum of the contract is required. 

Our Office Address: OakTree Plaza Building
4700 W Prospect Rd #115,
Fort Lauderdale, FL 33309

Someone from our team at 954-335-9305 will call you to obtain a valid photo id.

Buyer #2 Information

Buyer(s) name(s) as they appear on the contract, title policy, and Deed. If the name(s) do not match the contract an Addendum of the contract is required. 

Our Office Address: OakTree Plaza Building
4700 W Prospect Rd #115,
Fort Lauderdale, FL 33309

Someone from our team at 954-335-9305 will call you to obtain a valid photo id

Lender Information

Attorney Information

**If there is a power of attorney in this transaction please provide Independence Title, Inc with a copy to be approved by our underwriting attorney and to the lender (if applicable). The original needs to be provided to our office for recording. 

*If there are any additional buyers on this transaction, please put their personal information in the notes above.

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