SALE'S QUESTIONNAIRE
Complete legal names of all sellers, dates of birth and sex – male – M or female – F
Date of Birth
First Name
Middle Name
Last Name
D
M
Y
M/F
Date of Closing:
Address of Property You are Selling
Postal Code
City
Unit #
# Street
Contact Phone
Numbers:
Home:
Name:
Business:
Name:
Cell:
Name:
Cell:
Name:
Fax:
E-Mail:
Your forwarding Address:
Postal Code
City
Unit #
# Street


Ontario law requires that the transfer of title document contain a statement regarding the spousal status of all registered title holders and of all spouses not on title. Please indicate the spousal status for each of the persons currently on title and enter who you are married to by entering the number (#) of the line their name appears (print).

List Legal Names & Occupations of all parties
Check one
#1
Married to #
/ Not A Spouse / Separated / Single
#2
Married to #
/ Not A Spouse / Separated / Single
#3
Married to #
/ Not A Spouse / Separated / Single
#4
Married to #
/ Not A Spouse / Separated / Single
Check one
Is anyone on title a non resident?
 Yes /  No
Is your present legal name different from when you purchased the property and as shown on your Transfer/Deed?
 Yes /  No
Has any part of the property been used for business or commercial purposes?
 Yes /  No
Have there been any additions or renovations for which the municipal "final inspections" have not been completed and clearances given?
 Yes /  No
Do you own an interest in an adjoining property?
 Yes /  No
Are there any possible or actual law suits, liens, judgments, default payments or other matters that could affect the sale?
 Yes /  No
Real Estate Commission
%
Percentage or actual amount to be paid $
Amount of total deposit held by Real Estate Broker: $
Taxes: Last years total amount paid $
This years total taxes $
What has been paid to date $
PIN Number
Tax Roll Number
Bank holding first Mortgage Name
Address
Phone:
-
Fax:
Mortgage Loan No.
Prepayment Penalty
 Yes /  No
Bank holding second Mortgage
Address
Phone:
-
Fax:
Mortgage Loan No
Check one
Prepayment Penalty
 Yes /  No
Do you have a Line of Credit?
 Yes /  No
Is there a Line of Credit registered against the property you are selling?
 Yes /  No
If yes, fill in the following
Name of Financial Institution:
Address of Financial Institution:
Contact:
Phone Number:
-
Loan No:
Fax:

If you rent or rent to own any chattels ie: hot water heater, water softener, alarm system etc. please supply a copy of the contract as the purchaser often has to sign an assignment agreement. If you fail to make us aware of any of the above you may continue to be responsible for them.

Insurance – Kindly provide us with your current Insurance Information.

IMPORTANT:
Please note details of any equipment or appliances such as water heaters, water softeners, furnaces, alarm systems, etc, that are rented, being purchased over time or covered by a service contract.

Insurance Broker:
Contact Name:
Policy No:
Phone:
-
Fax:
Is the property you are selling a Condominium?
 Yes /  No

If so, kindly provide the following:

Condominium Corporation Name:
Management Company Name:
Management Company Address:
Management Company Telephone Number:
Fax:
Realtor Name:
Company Name:
Telephone:
-
Fax:
Email:

Please provide the following documents as soon as possible by fax or mail:
1. Agreement of Purchase and Sale, amendment(s) and waiver(s)
2. Transfer/Deed
3. Charges/Mortgage(s) plus most recent mortgage statement(s)
4. Survey, not applicable if condominium
5. Latest Property Tax Bill
6. Latest utility bills (Hydro, Gas & Water)
7. Death Certificate provided a registered owner is deceased.
8. Power of Attorney documents if applicable
9. Any other documents that may be relevant such as septic system approvals or use permits, well drillers' certificate, occupancy permits and approvals for any pools, outbuildings, additions, decks or renovations etc.

We Can Not commence work on your file until we receive a completed questionnaire & confirmation of representation

Name
Date
Name
Date

 I acknowledge that I have read the sale memorandum (Click here to open it) and completed the questionnaire.