Requestor Name Phone Number Email Property Address Penn Title File # (if available) Seller InformationSeller name/s will be taken directly from the title work. If previously single and now married, please include new spouse’s name. If name has changed (ex., divorce), please provide the “now known as” name. If signing using a Power of Attorney, please include the name of the Attorney-in-Fact. Seller Name/s (if different than title work) Seller/s Address Seller TypeMarriedSingleLLC/Corp/Trust/Etc. If LLC/Corp/Trust/Etc. please provide the name and title of the signor/sBuyer InformationIf obtaining a loan, please check with your Lender as to how your name/s will be listed on their loan documents. It will need to match the Warranty Deed. Buyer Name/s Buyer/s Future Address How is title to be held?Single personJoint tenants with rights of survivorshipTenants in commonLLC/CorporationOtherInstructions Date needed by Delivery methodSend to SellerEmail to RequestorKeep in file for closing Special instructions (ex. Seller signing out of state, POA being used to sign, pending divorce, etc.)SubmitReset
