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PURCHASER INFORMATION SHEET

To ensure the smooth closing of your transaction, please provide the following information as soon as possible:
*Before filling out this form, please read our Disclaimer.
Personal Information
CLIENT #1 FULL NAME:
Date of Birth (mm/dd/yr):
Client #1 Occupation:
Employer Name & Address:
Employer Phone #:
CLIENT #2 FULL NAME:
Date of Birth(mm/dd/yr):
Occupation:
Employer Name & Address:
Employer Phone #:
Home Phone #:
Present Address:
New Address:
E-Mail Address:

What is Your Marital Status?:

Married
Common-Law
Separated
Divorced
Single
Other

Other:

 

Additional Information


HOW ARE YOU TAKING TITLE TO THE PROPERTY?:

Jointly
Tenants in Common
Alone
Other
Other:

IS ANY PURCHASER A FIRST-TIME HOME BUYER?:

Yes
No
One Person Is
Name of First-Time Home Buyer:

ARE YOU ARRANGING A NEW MORTGAGE/LINE OF CREDIT?:

Yes
No
Mortgage Company & Contact Name & Phone#:
Mortgage Company & Contact Name & Phone#:

IS ANY PURCHASER A NON-RESIDENT OF CANADA?:

Yes
No
One Person Is
Name of Non-Resident Purchaser:

IS ANY PURCHASER A FARMER?:

Yes
No
One Person Is
Name of Farmer:
If you are a Farmer, your HST#:

CURRENT USE OF PROPERTY?:

Single Family Residence
Duplex
Seasonal Residential
Commercial
Other
Other: Specify Current Use:
What is Your Intended Use of the Property?:

Do You Own Any Lands That Abut The Property?:

Yes
No

Are There Any Hydro Pole Lines on The Property?:

Yes
No

Does The Property Abut a Waterway/Highway/Hydro Installation?:

Yes
No
Property Being Purchased Abuts:

IS THERE AN EXISTING SURVEY?:

Yes
No

If Not, Have You Ordered A New Survey?:

Yes
No
If so, Name of Surveyor:
NAME & PHONE# OF YOUR FIRE INSURANCE AGENT:

HOW IS PURCHASED PROPERTY HEATED?:

Gas
Hydro
Propane
Oil
Public Utility
Name of Oil/Propane Company:

HOW IS PURCHASED PROPERTY SERVICED?:

Town Water
Private Well
Municipal Well
Sewers
Septic

We will require two pieces of I.D., one with photo (not your health card) when you attend to execute documents.

You are responsible for contacting the utility companies to arrange for final meter readings and to haVe the accounts placed in your names as of the closing date. You are also responsible for arranging for cable T.V., telephone and gas, and for arranging for fire insurance coverage on the property as of the date of closing.

Concerns?

Any Questions or Concerns About Your Purchase?

Additional Comments

Additional Comments:

Thank You For Your Assistance!

 

 

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