Seller Supplemental Information Request Form

SELLER SUPPLEMENTAL INFORMATION REQUEST FORM

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Seller Supplemental Information Request Form

Seller Supplemental Information Form

Seller Name(s):(Required)

Listing Property Address(Required)

Street Address City ZIP / Postal Code

Would you like a Seller's Estimated Net Sheet from your escrow company to estimate the amount of your net proceeds from the sale?(Required)

Yes (recommended)

No, I waive my right to receive a Seller's Estimated Net Sheet

Loan/Lien Information

How many loans do you have secured by the Property?(Required)

None

Lender/Bank Name (1st Loan/Lien)(Required)

Estimated Loan Payoff Amount (1st Loan)(Required)

Lender/Bank Name (2nd Loan)(Required)

Estimated Loan Payoff Amount (2nd Loan)(Required)

Lender/Bank Name (3rd Loan)(Required)

Estimated Loan Payoff Amount (3rd Loan)(Required)

Lender/Bank Name (4th Loan)(Required)

Estimated Loan Payoff Amount (4th Loan)(Required)

How many other monetary liens or judgments do you have secured by the Property?(Required)

None

Lienholder/Creditor Name & Description (1)(Required)

Lien/Judgment Estimated Payoff (1)(Required)

Lienholder/Creditor Name & Description (2)(Required)

Lien/Judgment Estimated Payoff (2)(Required)

Lienholder/Creditor Name & Description (3)(Required)

Lien/Judgment Estimated Payoff (3)(Required)

Lienholder/Creditor Name & Description (4)(Required)

Lien/Judgment Estimated Payoff (4)(Required)

HOA Information

Does your property belong to a Home Owner's Association or other local association that charges dues?(Required)

Yes

How many associations does the Property belong to?(Required)

Association Name (1)(Required)

Property Management Company Name for Association (1)(Required)

Association (1) Dues Amount(Required)

Payment Frequency for Association (1)(Required)

Monthly

Quarterly

Semi-Annual

Annual

Association Name (2)(Required)

Property Management Company Name for Association (2)(Required)

Association (2) Dues Amount(Required)

Payment Frequency for Association (2)(Required)

Monthly

Quarterly

Semi-Annual

Annual

Association Name (3)(Required)

Property Management Company Name for Association (3)(Required)

Association (3) Dues Amount(Required)

Payment Frequency for Association (3)(Required)

Monthly

Quarterly

Semi-Annual

Annual

Solar Panel Information

Does your property have solar panels?(Required)

Yes

Ownership status of solar panels(Required)

SOLAR FINANCING: Seller is making payment on an existing loan for the solar panels

SOLAR LEASE: Seller has entered into a lease agreement for solar panels

SOLAR PPA: Seller has entered into a power purchase agreement for solar panels

Seller owns the solar panels (there is no loan or lease)

Does your solar financing allow for a Buyer to assume the loan?(Required)

Yes

No (most common)

I don't know

If available, please upload a current loan statement and any additional solar documentation (if applicable)

Drop files here or

Max. file size: 256 MB.

Does your solar lease allow for a Buyer to assume the lease?(Required)

Yes (most common)

I don't know

If available, please upload the solar lease documentation

Drop files here or

Max. file size: 256 MB.

Does your PPA allow for a Buyer to assume the PPA?(Required)

Yes

I don't know

If available, please upload the PPA documentation

Drop files here or

Max. file size: 256 MB.

Utility Providers

Please select the GAS company that services your property(Required)

N/A - Property is on propane

Southern California Edison (SCE) - Placentia

Southern California Gas Company

Other

Ownership Status of Propane Tank(Required)

Propane tank is leased

Propane tank is owned

What company services the propane tank?(Required)

Please select the ELECTRIC company that services your property(Required)

City of Anaheim

San Diego Gas & Electric (SDG&E)

Southern California Edison

Other

Please select the WATER company that services your property(Required)

N/A - Property is serviced by a private well

City of Anaheim

City of Brea

City of Buena Park

City of Fullerton

City of Huntington Beach (Municipal Utility)

City of La Habra

City of Newport Beach

City of Orange

City of San Clemente

City of San Juan Capistrano

City of Tustin Water Services

City of Westminster Water Division

El Toro Water District

Fountain Valley City Water Department

Garden Grove

Golden State Water Company

Irvine Ranch Water District

Laguna Beach County Water District

Mesa Consolidated Water District

Midway City Sanitary District

Moulton Niguel Water District

San Juan Capistrano Water District

Santa Ana Municipal Utility Services

Santa Margarita Water District

Seal Beach Water (Municipal Utility)

South Coast Water District (SCWD)

Trabuco Canyon Water District

Yorba Linda Water District

Other

Please select the TRASH company that services your property(Required)

Anaheim Solid Waste Collection & Disposal

Brea Disposal (Municipal Utility)

City of La Habra

City of Newport Beach

Consolidated Disposal Services

Costa Mesa Sanitary District

CR&R Disposal & Recycling

MG Disposal

O.C. Sanitation

Park Waste & Recycling Services

Rainbow Disposal

Republic Trash Company

Republic Waste Services of So Cal

Ware Disposal

Waste Management

Yorba Linda Disposal

Other

Please select the CABLE/INTERNET company that services your property

AT&T

Comcast Cable

Cox Communications

Spectrum

Time Warner Cable

Verizon Wireless

Other

Does the property have a septic system?(Required)

Yes

How many septic systems does the property have?(Required)

Other