ACE SOLUTIONS TITLE GROUP, LLC

BUYER/BORROWER INFORMATION FORM

Please provide the information requested and return this form via fax or e-mail it to me at:

Fax: 	813-773-3908 	Email: 	richel@acesolutionstitlegroup.com 			

If you do not have the insurance information at this time, please return the form.  Note that we will need this information at least three days prior to the scheduled closing date.

About You:

Name _________________________________________	Social Security Number __________________________	

Current Address: _________________________________
							Marital Status _________________

Name _________________________________________	 Social Security Number __________________________

								Marital Status ________________

Relationship (i.e., husband and wife, father and son, etc.) _________________________________________

Will the property you are purchasing be your primary residence?  Y / N   (circle one)

Daytime Telephone: __________________________(home/work)   Evening Telephone:_____________________(home/work)

The best time and phone number to reach you between 8:30am-5pm? _____________________________________

E-mail Address:____________________________

About Your Homeowner’s Insurance:

Your lender will require that we collect a homeowner’s insurance binder/policy at closing (condominium and land closings excluded).  We absolutely cannot schedule the closing with your lender until we have the following information:

		First Year Annual Premium $ ________________

		Insurance Company:   __________________________________________________

		Agent’s Telephone Number:__________________