BUYER INFORMATION REQUEST FORM

BUYER NAME: FIRST MIDDLE, LAST (as you want it to appear on your deed):

BUYER’S MARITAL STATUS (including name of spouse):

BUYER’S PHONE NUMBERS:

BUYER’S EMAIL ADDRESS:

BUYER-REALTOR’S PHONE NUMBERS:

LENDER NAME, LOAN OFFICER, AND PHONE NUMBER:

WILL YOU BE RECEIVING DOWN PAYMENT (NC HOUSING/CITY)? IF YES, WHICH

PROGRAM

BUYER’S HOME OWNER’S INSURANCE INFO (insurer, agent, and phone number):

WHERE CAN WE MAIL YOUR SIGNED DOCUMENTS:

WHAT EXPENSES HAVE THE SELLERS AGREED TO PAY ON THE BUYERS’

BEHALF?

WILL YOU APPOINT A POWER OF ATTORNEY TO SIGN DOCUMENTS FOR YOU?

*IMPORTANT: If married and obtaining a loan, both spouses will need to attend closing

(even if loan is only in one name.)

**IMPORTANT: Please send all invoices you want to be paid at closing (i.e. building

inspectors, etc.) as soon as you receive them.

DISCOUNTED PREMIUM SERVICES

Would you like this service:

(Buyer name)

RE: Your Purchase of Real Estate Located at (the “Property”)

Thank you for selecting our firm to represent you in your purchases of the above-referenced Property. I look forward to assisting you in a smooth and rewarding transaction.

I would like to take this opportunity to tell you what you can expect in this closing process. As your closing attorney, I will perform a title search of the Property, obtain a title insurance commitment and prepare loan documents on your behalf. My fee for these services is $800 (however, please note that if you or your agent have requested a close date within 14 days of your initial contact with our office, an expedited fee of $150 will be charged.). Out of pocket expenses for a survey, termite report, home inspection, title insurance premium, hazard insurance premium, express mail, fax and recording fees are NOT included in my legal fee.

Most closings do not require any work beyond the title search and the loan document preparation; however, in the event additional work becomes necessary, such as the drafting of an escrow agreement, an encroachment agreement, mobile home affixations or other additional documentation, a separate fee will be charged in accordance with the nature and complexity of the work involved. Of course, I will talk to you before beginning any such work to discuss my role and the costs.

PLEASE BRING CERTIFIED FUNDS FOR CLOSING IN BANK CHECK FORM MADE OUT TO: GOINS LAW, TRUST ACCOUNT OR CONTACT US DIRECTLY FOR WIRING INSTRUCTIONS. You are welcome to obtain and bring your certified funds after closing if you cannot obtain a final funds amount from my office in time to get a check from your bank.

If you would prefer a full search, please notify me by email within seven (7) days from the date of this letter so that I may have sufficient time to perform this service for you.

PLEASE BE AWARE THAT OUR SEARCH DOES NOT INCLUDE MATTERS: (1) WHICH WOULD HAVE BEEN UNCOVERED BY A SURVEY, INCLUDING BUT NOT LIMITED TO YOUR PROPERTY LINES AND THE ACREAGE OF YOUR PROPERTY; (2) MATTERS OF ZONING, ENVIRONMENTAL HAZARDS, AND (3) THE STATE OF THE PROPERTY WITH REGARDS TO ANY TENANCIES AND/OR LEASE AGREEMENTS THAT MAY EXIST.

Upon receiving the completed and accurate Buyer Information Request Form from you, we will begin our title work either: (1) when your due diligence period, if any, expires; or (2) when you or your agent tells our office to begin the search. PLEASE UNDERSTAND THAT WE WILL CHARGE FOR ALL WORK PERFORMED FOR YOU EVEN IF YOUR TRANSACTION FAILS FOR ANY REASON. If you are not certain about your transaction, we suggest you contact us to delay our work for you. Please understand that if we must delay our work for you your scheduled closing, we will probably be required to reschedule your closing.

Thank you again for allowing us to assist you in this milestone in your life.

Very truly yours,

Jason M. Goins

AGREED AND CONSENTED TO:

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Timestamp

Audit

August 6, 2021 10:57 am EDT

Jennifer Kiker - jkiker@goins-law.com added by Jamie Pruitt - jamiepruitt@mac.com as a CC'd Recipient Ip: 66.110.232.67

August 6, 2021 12:17 pm EDT

Buyer Forms: Loan Expedited Uploaded by Jennifer Kiker - jkiker@goins-law.com IP 204.116.59.42

September 16, 2021 7:55 am EDT