Conveyancing Form

Listing Agent Section

RE/Act Home Services to Order for Closing:

Buyer Title Company:

Seller Section

Utilities Information

Mortgage Authorization

CLIENT UNDERSTANDS RE/ACT HOMES SEVICES, LLC HAS NO CONTROL OVER THE USE OF ANY INFORMATION AFTER IT IS DISCLOSED TO A THIRD PARTY. THE CLIENT AGREES TO RELEASE, AND HOLD HARMLESS FROM ANY AND ALL LIABILITY, FOR ANY MISUE OF SUBSEQUENT DISCLOSURE BY A THIRD PARTY OF THE INFORMATION OR REPORTS DISCLOSED BY BROKER PURSUANT TO THE TERMS OF THIS AUTHORIZATION.

MY SIGNATURE BELOW, HERE BY AUTHORIZES YOU TO RELEASE A PAYOFF STEMENT ON MY BEHALF, TO RE/ACT HOMES SERVICES, LLC AND BUYER'S TITLE COMPANY UPON THEIR REQUEST. MY SIGNATURE, BELOW, HEREBY AUTHORIZES RE/ACT HOME SERVICES, LLC TO PERFORM CONVEYANCING SERVICES FOR $395.00 PLUS THE COST OF ALL CERTIFICATIONS THAT ARE ORDERED. FILES THAT DO NOT REQUIRE U&O OR RESALE CERTICATION WILL BE CHARGED $300.00.

SOCIAL SECURITY NUMBER(S) MUST BE COMPLETED REGARDLESS OF WHETHER YOU HAVE A MORTGAGE OR HELO. IT MUST BE OBTAINED FOR BACKGROUNDS, SUCH AS CHILD SUPPORT AND OFAC CERTIFICATIONS.