Conveyance Form – Seller Conveyance Order Form - Seller Seller *Seller #2Seller’s AddressCityState/ProvinceZIP / Postal CodePhone *Phone #2Email Address *Email Address #2Mortage InformationThe following information is essential in obtaining the necessary documents to complete the settlement of your property.Mortage Company *Account # *Phone # *Mortage CompanyAccount #Phone #Customer understands Broker has no control over the use of any information after it is disclosed to a third party. The customer agrees to release, and hold harmless from any and all liability, for any misuse or subsequent disclosure by a third party of the information or reports disclosed by Broker pursuant to the terms of this authorization.My signature, below, hereby authorizes you to release a Mortgage Payoff Statement, on my behalf, to RE/ACT HOME SERVICES and Buyer’s Title Company upon their request. My signature, below, hereby authorizes RE/ACT HOME SERVIES to perform conveyancing services for a nominal fee plus the cost of all certifications needed to be ordered.Signature (Name) *Social Security *Please check this box in understanding that you will need to call the office at (484) 519-8010 and provide your SSN once this form is submitted.Date *Signature (Name) *Social Security *Please check this box in understanding that you will need to call the office at (484) 519-8010 and provide your SSN once this form is submitted.Date *Social Security number must be completed regardless of whether you have a mortgage or HELOC. It must be obtained for background, child support and OFAC certifications.List of items needed for closing info:Water Co.SewerTrashHomeowners Assn Contact *Phone *Send MessagePlease do not fill in this field. Our Services Realtors Seller Buyer Conveyance Get In Touch Call Us Order Title Order Conveyancing Get In Touch Address 65 Commerce DriveWyomissing, PA 19610 Phone (484) 640-1080 Contact Us