FrickTrent, PLLC
141 Providence Road STE 110
Charlotte, NC 28207
Phone: 704-376-8181
Email info@fricktrent.com

Buyer Info Form

If you would like to submit the information below via fax instead, then please download our buyer info offline form.

Be assured that all information submitted here is safe and secured.

This information will be used to prepare all closing documents. Please complete this form accurately and legibly.
Will you be present for closing? * Yes, I will be present for closing I will close with Power of Attorney for my spouse (Please note our office must obtain prior approval from your lender in order to use a Power of Attorney)
Title Information
Please spell your full legal name below. This information will be used on the Warranty Deed (as well as the Power of Attorney, if applicable). Please note you must use the same name(s) given to your lender.
Your Name *		Full Legal Name of Spouse
Contact Info - Prior to closing
Please indicate an address and telephone numbers where you can be contacted prior to closing. The address must be a street address, so that we may send information via Federal Express if necessary.
Name *		Address *
Work Phone *		Cell Phone *
Home Phone *		Fax Number *
Home Email *		Work Email *
Contact Info - After closing
Please provide and address and phone number where you can be reached after closing.
Address *		Phone *
Lender Information
Lender *		Lender Address *
Lender Phone *		Lender E-mail *
Loan Number *		Loan Contact *
Realtor Information
Real Estate Firm *		Agent Name *
Realtor Phone *		Realtor Email *
Homeowners Information
Insurance Company Name *
Insurance Company Address *		Insurance Company Phone *

Verification Code		Please type the code (letters/numbers) seen on the image to the left into the text box below. This verification code is necessary to prevent spam.

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