Deed Transfer Document

Deed Information Questionnaire

Seller’s/Transferor’s Name:

Mailing Address:

Home Phone Number: Work Phone Number:

Cell Phone Number:

Date of birth:

Social Security Number:

Buyer’s/Transferee’s name:

Mailing Address:

Home Phone Number: Work Phone Number:

Cell Phone Number:

Date of birth:

Social Security Number:

Mailing address of property to be transferred (include county):

Legal description of property to be transferred:

Square Footage/Acreage:

Condo unit number if applicable:

Type of transfer:

Ordinary sale

Inheritance

Gift

Foreclosure

Tax sale

Confirmatory deed

Other

Purchase Price/Consideration $

Residential or Non-Residential Residential Non-Residential

Is the property being conveyed only a part of an existing property? Yes No

List all improvements being conveyed:

In whose name is the property now titled?

Name: Address and Phone Number:

Relationship to other owners:

How was ownership acquired?: Form of Ownership (joint tenant, fee simple, tenant by entireties, life estate, etc.)

Name: Address and Phone Number:

Relationship to other owners:

How was ownership acquired?: Form of Ownership (joint tenant, fee simple, tenant by entireties, life estate, etc.)

Describe any warranties to be made regarding the property:

Do you know of anyone who has a future interest of ownership? Yes No If yes, describe:

Are there any rights of way/easements on the property? Yes No If yes, describe:

Who is to pay fees associated with transfer (transfer tax/recording fee)?

List all existing mortgages on property:

List all existing claims on property:

Has a survey been conducted? Yes No

Name, firm, address, and telephone number of the person to contact if the clerk’s office, or finance office has any questions about the transaction.