Tell us about the property you’re selling.

Complete the form and submit — it’s recorded privately and delivered straight to our office. No Google Forms, no third-party spreadsheets. Fields marked * are required.

Property & seller

Property Address *

Manufactured Home?

Yes No

Email *

Name *

Social Security Number (for tax reporting)

Name — Second Seller

Social Security Number (second seller)

Mobile

Phone

Residency & tax

Primary Residence?

Yes No

SC Resident? (non-resident may be subject to withholding tax)

Yes No

US Resident? (non-resident foreign person may be subject to withholding tax)

Yes No

Forwarding Address

Mortgage & HOA

Subject to a Mortgage?

Yes No

Subject to a Home Owner’s Association?

Yes No

Loan Servicer(s) and Loan Number(s)

HOA and/or Subdivision Information

Management Company Name

Second HOA Management Company

Closing & proceeds

Closing Attendance (will all sellers attend?)

Yes No

Name of Signer (non-attending seller / corp / LLC / trust)

Proceeds

Wiring Information

Comments

Your information is recorded privately and delivered directly to Cooperative Title, LLC. Nothing is sent to a third-party form service.

Cooperative Title, LLC
Law Office of Raymond W. Smith, Esq.
info@cooperativetitle.net
(843) 628-3299 · Fax (843) 628-3592

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