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Click here or scroll down to respond to this candidateAmerican Land Title Association ALTA Settlement Statement - CombinedAdopted Street Address -01-2015File No./Escrow No.:Officer/Escrow Officer:Candidate's Name
Street Address Satellite Blvd., Suite 600Duluth, GA 30096PHONE NUMBER AVAILABLE539728Property Address:Borrower:Seller:Settlement Date:Disbursement Date:3250 STILLWATER DRIVEMEDINA, OH 44256 (MEDINA)(045-05B-19-030)OPENDOOR PROPERTY TRUST I, A DELAWARE STATUTORY TRUST 410 N Scottsdale RdSte 1600Tempe, AZ 85288ROBERT J. HILL3250 Stillwater DriveMedina, OH 442564/2/20244/2/2024Seller Description BorrowerDebit Credit Debit CreditDeposits, Credits, Debits$367,900.00 Contract sales price $367,900.00Deposit or Earnest Money $1,250.00$18,395.00 Opendoor Service Charge $18,395.00$14,441.30 Repair Credit $14,441.30$552.00 Late Checkout Credit $552.00$25,574.62 Proceeds funds for 721 Patriots Way to Candidate's Name Earnest money retained byDisbursed as proceeds ($1,250.00)Prorations$213.19 HOA Annual Assessments 4/2/2024 to 1/1/2025 @ $284.00/Year $213.19$61.92 HOA Monthly Pool Assessments 4/2/2024 to 5/1/2024 @ $64.06/Month $61.92$1,087.28 County taxes 1/1/2024 to 4/2/2024 @ $4,325.48/Year $1,087.28 Payoffs$142,105.66 Payoff of first mortgage loan to Carrington Mortgage Services, LLC$27,933.99 Payoff of second mortgage loan to Huntington Mortgage Title Charges$1,725.50 Owner's coverage $367,900.00 Premium $1,725.50 to Candidate's Name
$350.00 Settlement or clCandidate's Name $200.00Document preparation to Candidate's Name $90.00$300.00 Notary/Signing fees to Candidate's Name
Title Update Fee to Candidate's Name $100.00Electronic Filing Fee to Simplifile $3.25Government Recording and Transfer ChargesRecording fees: Deed $66.50 $66.50$1,103.70 County tax/stamps: Deed $1,103.70Additional Settlement Charges$2,162.74 Current Year Taxes Due to MEDINA COUNTY TREASURER$4,000.00 Late Checkout DepCandidate's Name
$216.95 Recovery - CC Upfront HOA Fee to Candidate's Name
$319.00 HOA Current Owner Balance Fees to Shale Creek Master Association Inc.HOA New Owner Golf Initiation Fees to Shale Creek Master Association $1,067.50 Inc.HOA New Account Setup Fees to Associated property Management $125.00 LLCHOA 3 Months Pool Fee Assessment Fees to Shale Creek Master $192.18 Association Inc.$64.06 HOA April 2024 Pool Assessment Fees to Shale Creek Master Association Inc.$240,331.80 $368,175.11 Subtotals $370,369.54 $35,725.58$127,843.31 Due To SellerDue From Borrower $334,643.96Seller BorrowerDebit Credit Debit CreditFile # 539728Page 1 of 2 Printed on 4/1/2024 at 4:56 PM$368,175.11 $368,175.11 Totals $370,369.54 $370,369.54 AcknowledgementWe/I have carefully reviewed the ALTA Settlement Statement and find it to be a true and accurate statement of all receipts and disbursements made on my account or by me in this transaction and further certify that I have received a copy of the ALTA Settlement Statement. We/I authorize Candidate's Name to cause the funds to be disbursed in accordance with this statement.BORROWER(S)$${BS:1954999_1}{T:SIGN}$$OPENDOOR PROPERTY TRUST I, a Delaware statutory trust By: Opendoor Labs Inc., a Delaware corporation, as Trust Manager By:Name:Title:SELLER(S)$_$_{_BS:__1955000 1}__{T:__SIGN} $_$ ROBERT J. HILLFile # 539728Page 2 of 2 Printed on 4/1/2024 at 4:56 PM539728FILE NUMBER: 539728PROPERTY ADDRESS: 3250 Stillwater Drive, Medina, OH 44256 BUYER(S): OPENDOOR PROPERTY TRUST I, a Delaware statutory trust, SELLER(S): Robert J. Hill,Dear Sir or Madam:Thank you for using OS National to coordinate the closing for the above referenced property. Enclosed you will find the closing documents for the above referenced transaction. SIGNING INSTRUCTIONS:1. Signer instructions:a. Verify the spelling of your name, your address, and the property address is correct on all documents. b. Please use BLUE INK to sign all documents.c. Provide a clear, legible COPY of your current govt. issued drivers license, passport or other govt. identification card.d. Do not mark up or delete any document.e. Please DATE documents as of the date of signing. 2. Deed instructions (if applicable):a. Deed must be signed in the presence of unrelated witnesses as indicated in the face of the deed. b. Names of each witness must be printed below their signature. c. Deed must be signed in front of a notary public who is commissioned in the state wherein you are signing. 3. Notary public instructions (if applicable):a. Notary public must acknowledge the deed and all other documents in the closing package. b. Notary public must affix their seal/stamp and complete the acknowledgement clause where applicable. c. Notary public must make sure that all signature blocks for the signers are completed properly. 539728Notary Public Instructions:1. After execution, please email all of the enclosed closing documents to Erin Quesenberry at erinquesenberry@osnational.com. DO THIS BEFORE DOCUMENTS ARE SEALED AND DELIVERED TO UPS.2. Provide a copy of all the documents to the signer, including the IRS Form 1099-S. 3. Immediately, thereafter, please arrange to return all signed documents to UPS by the attached prepared UPS label. 4. Please use UPS label provided and do not place originals in the mail. 5. Funds will be delivered via wire transfer (if correct wire instructions are provided) or by an escrow check upon receipt of all original, properly executed closing documents. Any deviation from the above instructions may result in a delay of closing or necessitate a re-close. Please call Erin Quesenberry at PHONE NUMBER AVAILABLE if you have any questions or concerns. If you need immediate assistance and your closer is not available, please call our main line at PHONE NUMBER AVAILABLE and have the operator direct your call. Very truly yours,OS NationalErin QuesenberryPHONE NUMBER AVAILABLEEMAIL AVAILABLE539728DISCLOSURE STATEMENT REGARDING NOTARY SERVICESTitle Agency and Notary RelationshipCandidate's Name (hereinafter Title Agency or Producer) has retained the services of Unlimited Ink Notary (hereinafter Notary). The Notary is a public officer authorized by the state or local government to administer oaths and attest to the authenticity of signatures and to witness the signing of documents related to the transfer and or refinancing of real property located at 3250 Stillwater Drive, Medina, OH 44256 (the Transaction).The services provided by Notary are in furtherance of Title Agency or Producers obligation to act as the settlement agent to the Transaction, or in some cases to assist with the administrative functions of the Transaction on behalf of the settlement agent.Scope of ServicesThe Notary has been engaged to provide notary services in the form of authenticating and witnessing the signature of the closing documents only.The Notary is prohibited from selling, soliciting or negotiating insurance. This prohibition includes discussing any terms or premiums associated with any title insurance or other insurance that may have been issued in connection with this closing or otherwise. The Notary is prohibited from offering advice, counsel or guidance related to the closing documents. Should the buyer, purchaser or refinancing party have any questions regarding any title insurance issued for the subject property, or the closing documents, such questions should be referred to the title producer.SignatureThe signature below serves to acknowledge receipt of the disclosure statement by the party executing the closing documents.By: Robert J. HillDATEBy:DATE539728ACKNOWLEDGEMENT AND RECEIPT OF SETTLEMENT STATEMENT / CLOSING DISCLOSURE Date: April 2, 2024Buyer(s): OPENDOOR PROPERTY TRUST I, a Delaware statutory trust, Seller(s): Robert J. Hill,Property Address: 3250 Stillwater Drive, Medina, OH 44256 File Number: 539728Settlement Agent: Candidate's Name
Buyer(s) and Seller(s) acknowledge that each has received, reviewed, and approved the entries appearing on this Settlement Statement/Closing Disclosure, and each acknowledge receipt of a copy of same. Seller(s) acknowledges receipt of payment in full of the proceeds due from the settlement and warrants the correctness of all payoff amounts for outstanding liens and encumbrances attached to Seller(s) and/or the property. If any party receiving a payoff as set forth in the Settlement Statement/Closing Disclosure refuses to accept that amount tendered, the party obligated to make such payoff (Buyer(s) or Seller(s)) agree(s) to immediately pay to Settlement Agent sufficient additional funds to make such payment acceptable to the refusing/receiving party. Buyer(s) and Seller(s) authorizes Settlement Agent to disburse funds in accordance with the Settlement Statement/Closing Disclosure and lender instructions (if applicable).Buyer(s), Seller(s) and all other parties to this transaction, acknowledge that all checks issued by Settlement Agent or recording of all documents are contingent upon all checks, sight drafts and other instruments accepted as payment for amounts due under this transaction being honored for payment by the institution on which such instruments are drawn. Buyer(s) and Seller(s) agree to indemnify and hold Settlement Agent harmless from any loss or damage suffered by them as a result of any negotiable instrument being dishonored or as a result of the authorized action of Settlement Agent.If any computation, charge or proration required by the contract of sale is erroneous or omitted, for any reason, Buyer(s) and Seller(s) agree to re-prorate or adjust based on the correct figures as determined by the contract and to remit such sums to correct such error or omission. Buyer(s) and Seller(s) agree that should any inadvertent errors or omissions later be discovered in any documents executed at settlement, they shall promptly execute corrective documents. Any excess recording costs are inadvertent and will be refunded. Buyer(s) and Seller(s) acknowledge that Settlement Agent makes no representations as to the status of any outstanding or past due water, sewage or other utility bills applicable to the property. The status of such items shall be determined by and are the responsibility of the Buyer(s) and Seller(s). If the proration of ad valorem property taxes, assessments or any other fee is made based on estimated amounts prior to receipt of current amounts due, Buyer(s) and Seller(s) agree to adjust said prorations based on the actual base amount due between themselves after closing and to immediately remit to the other the funds to make said proration correct. Seller(s) agrees to immediately forward any subsequent bills or notices received to Buyer(s) and to immediately remit to Buyer(s) the amounts for any taxes, assessments, penalties, interest or any other fees due, resulting from any assessment, reassessment or rebill, attributed to the time prior to the closing date. Buyer(s) and Seller(s) hereby certify that they have carefully reviewed the Settlement Statement/Closing Disclosure, and they approve and agree to the payment of all fees, costs, expenses and disbursement as reflected on the Settlement Statement/Closing Disclosure to be paid on their behalf. Borrower(s) further certify that we have received a copy of the Settlement Statement/Closing Disclosure. SUBSTITUTE FORM 1099 SELLER(S) STATEMENT: The information contained herein is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction will be imposed on you if this item is required to be reported and the IRS determines that it has not been reported. The Sales Price of Property described on the Closing Disclosure or the Contract sales price on the Settlement Statement/Closing Disclosure constitutes the Gross Proceeds of this transaction.Seller(s) Acknowledgement Only:Robert J. HillSettlement Agent CertificationI have reviewed the Settlement Statement/ClCandidate's Name
by:Charles Chacko539728ACKNOWLEDGEMENT FOR CLOSINGPERFORMED IN ESCROWDATE: April 2, 2024RE: BUYER(S): OPENDOOR PROPERTY TRUST I, a Delaware statutory trust SELLER(S): Robert J. HillADDRESS: 3250 Stillwater Drive, Medina, OH 44256FILE NUMBER: 539728The undersigned Buyer(s) and Seller(s) herein understand and agree that this clCandidate's Name harmless from any harm or liability related to the conditions or statements hereinabove.Seller(s)Robert J. Hill539728CORRECTION AGREEMENT AND LIMITED POWER OF ATTORNEY File Number: 539728Property Address: 3250 Stillwater Drive, Medina, OH 44256 Buyer(s): OPENDOOR PROPERTY TRUST I, a Delaware statutory trust Sellers(s): Robert J. HillThe undersigned Buyer(s) and Seller(s), for and in consideration of the approval, closing and funding of the above- referenced closing, do hereby grant OS National as settlement agent or closing coordinator limited power of attorney to correct all typographical or clerical errors discovered in any or all of the closing documentation required to be executed by the undersigned at settlement. This power shall include the ability to sign documentation not present at closing. However, this power shall not permit the signing of any promissory note, deed, security instrument or other document securing or transferring legal or equitable title to the subject property, nor any document which will materially alter the terms of a purchase money loan. This limited power of attorney is given to OS National solely for the purpose of expediting the closing process and avoiding inconvenience to the Buyer(s) and Seller(s) and does not give OS National any right of representation on behalf of the undersigned parties. The undersigned agree to cooperate fully with OS National in a timely manner. OS National reserves the right not to disburse funds if the undersigned fails to do all things necessary to comply with any lender requirements.Seller(s):Robert J. HillState ofCounty ofSworn to and subscribed before me this day of, 20, by who is/are personally known to me or produced the following identification: .(Notary Seal) Notary PublicPrinted Name:My Commission Expires:539728Sellers AffidavitState ofCounty ofBefore me, the undersigned authority, personally appeared Robert J. Hill, (whether one or more, hereinafter referred to as Affiant), who, being duly sworn according to law, deposes and says: 1. OWNERSHIP AND DESCRIPTION OF TRANSACTION. Affiant is the owner of the land described on Exhibit A attached hereto (the Property). This affidavit is made in connection with a sale of the Property to OPENDOOR PROPERTY TRUST I, a Delaware statutory trust (Purchaser). 2. LIENS, MORTGAGES & ENCUMBRANCES. The Property is not subject to any unrecorded mortgages, deeds of trust, security deeds, judgments, liens, restrictions, easements or other matters, except those that would be shown by a search of the public records applicable to the Property and home/condominium owners association charges, dues, assessments, and property taxes that are due but not yet payable.3. UNDISPUTED POSSESSION, OWNERSHIP & ACCESS. Affiant has exclusive, undisputed possession and ownership of the Property and no one has challenged or tried to prevent ingress and egress to the Property. 4. NO VIOLATIONS OR BOUNDARY DISPUTES. There is no present violation of covenants, conditions or restrictions and no dispute with any adjoining property owner as to the location of any property line. 5. TAXES. There are no taxes, liens or assessments which are due or about to become due or which have attached or could attach to the Property, except: TAXES FOR THE YEAR 2024 AND SUBSEQUENT YEARS. 6. MUNICIPAL OR COUNTY BILLS & ASSESSMENTS. There are no unpaid bills, liens or assessments for mowing, water, sanitary sewer, paving or other public utilities or improvements made by any government agency or department. No notice has been received regarding future or pending assessments for improvements by any government agency or department. 7. ASSOCIATION DUES/ASSESSMENTS. Affiant is obligated to pay property or homeowners assessments and/or dues to(Check as applicable):No property owners association.Only one property owners association whose name and contact information is .More than one property owners association whose names and contact information are. If the Property is subject to a property owners association, all dues, assessments, fines or other fees are paid in full or shown on the settlement statement for this closing.8. NO PENDING MATTERS OR COURT PROCEEDINGS. There are no matters pending against Affiant that could give rise to a lien that would attach to the Property prior to recordation of the proposed deed to Purchaser. There are no actions or proceedings now pending in any court affecting title to the Property or to which Affiant is a party including, but not limited to, proceedings in bankruptcy, receivership or insolvency. 9. CONSTRUCTION LIENS. There have been no contracts to furnish, labor, material, services or equipment for the construction, alteration or repair of the subject property within the past 75 days which have not been paid in full. 10. NONFOREIGN STATUS. Affiant is not a foreign person, foreign corporation, foreign trust or foreign partnership (as those terms are defined in the Internal Revenue Code under Income Tax Regulations). 11. TAX IDENTIFICATION NUMBER & ADDRESS. Affiants social security number and address are as follows: Social Security No.: XXX-XX-XXXX539728Address: 721 Patriots WayMedina, OH 4425612. AGREEMENT NOT TO CONVEY OR ENCUMBER. Affiant has not executed, and will not execute, any deed, agreement, mortgage, easement or other instrument of any nature affecting title to the Property, except as required by the Title Commitment. 13. GAP INDEMNITY. There are no matters pending against the affiant that could give rise to a lien or any other right that would attach to the land between the effective date of the title commitment as extended and the recording of the deed to the Purchaser; and that the affiant(s) have not and will not execute any instruments or allow any action that would adversely affect the interest to be insured.14. GENERAL UNDERSTANDING. Under penalties of perjury, Affiant declares that he/she has read the foregoing document and that the facts stated in it are true.I authorize the settlement agent to provide a copy of the settlement statement to the clerk of the county if so requested to prove consideration paid for this transaction. The document will not be recorded. Future Address and Phone Number of Affiant:721 Patriots WayMedina, OH 44256Robert J. HillState ofCounty ofSworn to and subscribed before me this day of, 20, by who is/are personally known to me or produced the following identification: .(Notary Seal) Notary PublicPrinted Name:My Commission Expires:539728Exhibit ASituated in the Township of York, County of Medina and State of Ohio: And known as being in all of Sublot No. 66 in Shale Creek Subdivision Phase 2, being a part of Original York Township Lot 23, Tract 4, as recorded in Document No. 2006PL000048 of Medina County, Ohio Records. 539728Non-Foreign Status CertificationFile Number: 539728Property: 3250 Stillwater Drive, Medina, OH 44256Seller/Transferor: Robert J. HillPurchaser/Transferee: OPENDOOR PROPERTY TRUST I, a Delaware statutory trust Section 1445 of the Internal Revenue Code provides that a Transferee of a United States real property interest must withhold tax if the Transferor is a foreign person. To inform the Transferee that withholding of tax is not required upon the disposition of a United States real property interest by Transfer the undersigned hereby certifies the following on behalf of Transferor: 1. Transferor is not a foreign person, corporation, foreign partnership, foreign trust, or foreign estate(as those terms are defined in the Internal Revenue Code and Income Tax Regulations); and 2. Transferor's (1) U.S. taxpayer identification number is 272-82-2751 and 285-80-6455 3. Transferor's office address is 721 Patriots Way Medina, OH 44256 4. Transferor's (2) U.S. taxpayer identification number is and 5. Transferor's office address isTransferor understands that this certification may be disclosed to the Internal Revenue Service by Transferee and that any false statement contained herein could be punished by fine, imprisonment, or both. The undersigned declare that they have examined this certification and to the best of their knowledge and belief it is true, correct and complete, and they further declare that they have authority to sign this document on behalf of Transferor. Dated: April 2, 2024Robert J. Hill5397282024Substitute Form 1099-SProceeds from Real Estate TransactionsFILER'S Name, Address and Telephone No. TRANSFEROR'S Name and Address Candidate's Name
3097 Satellite Blvd., Suite 600Duluth, GA 30096Telephone: PHONE NUMBER AVAILABLERobert J. Hill721 Patriots WayMedina, OH 44256FILER'S federal identification number45-3302686TRANSFEROR'S identification number272-82-2751Transaction InformationDate of Closing April 2, 2024Gross Proceeds $367,900.00Allocation of Gross ProceedsBuyer's part of real estate taxAddress or legal description 3250 Stillwater Drive, Medina, OH 44256 Transferor received or will receive property or services as part of the consideration FalseAccount or escrow number (see instructions) 539728- This is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction may be imposed on you if this item is required to be reported and the IRS determines that it has not been reported.- You are required by law to provide the Settlement Agent with your correct Tax Payer Identification Number. If you do not provide the Settlement Agent with your correct Tax Payer Identification Number, you may be subject to civil or criminal penalties imposed by law.- Under penalties of perjury, I certify that the number shown above on this statement is my correct Tax Payer Identification Number. I acknowledge receipt of a copy of this statement.Robert J. HillInstructions for TransferorFor sales or exchanges of certain real estate, the person responsible for closing a real estate transaction must report the real estate proceeds to the Internal Revenue Service and must furnish this statement to you. To determine if you have to report the sale or exchange of your main home on your tax return, see the instructions for Schedule D (Form 1040). If the real estate was not your main home, report the transaction on Form 4797, Form 6252, and/or Schedule D (Form 1040). If you received or will receive like-kind property, you must file Form 8824.Federal mortgage subsidy. You may have to recapture (pay back) all or part of a federal mortgage subsidy if all the following apply.You received a loan provided from the proceeds of a qualified mortgage bond or you received a mortgage credit certificate.Your original mortgage loan was provided after 1990.You sold or disposed of your home at a gain during the first 9 years after you received the federal mortgage subsidy.Your income for the year you sold or disposed of your home was over a specified amount. This will increase your tax. See Form 8828 and Pub. 523. Account number. May show an account or other unique number the filer assigned to distinguish your account. 5397282024Substitute Form 1099-SProceeds from Real Estate TransactionsFILER'S Name, Address and Telephone No. TRANSFEROR'S Name and Address Candidate's Name
3097 Satellite Blvd., Suite 600Duluth, GA 30096Telephone: PHONE NUMBER AVAILABLE721 Patriots WayMedina, OH 44256FILER'S federal identification number45-3302686TRANSFEROR'S identification number285-80-6455Transaction InformationDate of Closing April 2, 2024Gross Proceeds $367,900.00Allocation of Gross ProceedsBuyer's part of real estate taxAddress or legal description 3250 Stillwater Drive, Medina, OH 44256 Transferor received or will receive property or services as part of the consideration FalseAccount or escrow number (see instructions) 539728- This is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction may be imposed on you if this item is required to be reported and the IRS determines that it has not been reported.- You are required by law to provide the Settlement Agent with your correct Tax Payer Identification Number. If you do not provide the Settlement Agent with your correct Tax Payer Identification Number, you may be subject to civil or criminal penalties imposed by law.- Under penalties of perjury, I certify that the number shown above on this statement is my correct Tax Payer Identification Number. I acknowledge receipt of a copy of this statement.Instructions for TransferorFor sales or exchanges of certain real estate, the person responsible for closing a real estate transaction must report the real estate proceeds to the Internal Revenue Service and must furnish this statement to you. To determine if you have to report the sale or exchange of your main home on your tax return, see the instructions for Schedule D (Form 1040). If the real estate was not your main home, report the transaction on Form 4797, Form 6252, and/or Schedule D (Form 1040). If you received or will receive like-kind property, you must file Form 8824.Federal mortgage subsidy. You may have to recapture (pay back) all or part of a federal mortgage subsidy if all the following apply.You received a loan provided from the proceeds of a qualified mortgage bond or you received a mortgage credit certificate.Your original mortgage loan was provided after 1990.You sold or disposed of your home at a gain during the first 9 years after you received the federal mortgage subsidy.Your income for the year you sold or disposed of your home was over a specified amount. This will increase your tax. See Form 8828 and Pub. 523. Account number. May show an account or other unique number the filer assigned to distinguish your account. 539728INSTRUCTIONS TO SETTLEMENT AGENTREGARDING DISBURSEMENT OF PROCEEDSFile Number: 539728Property Address: 3250 Stillwater Drive, Medina, OH 44256 Seller(s): Robert J. HillSettlement Agent: Candidate's Name
This form serves as instructions to the Settlement Agent regarding disbursement of proceeds. Please indicate below how you would like your proceeds delivered. This document must be signed by all parties receiving funds as listed on the Settlement Statement/Closing Disclosure. The Settlement Agent reserves the right to require new instructions if the instructions require Settlement Agent to disburse funds against Settlement Agent Procedures. CHECKProceeds to be delivered to the address below (Actual Address needed, No P.O. Boxes). Proceeds will be delivered by Overnight Courier for next business day delivery. Please indicate below if you will require that the delivery of the proceeds be signed for: No additional charge for this service.Signature required for DeliverySignature NOT REQUIRED for DeliveryWIRE ALL FUNDS DIRECTLY TO SELLER ALL FIELDS MUST BE COMPLETED Proceeds to be sent via wire transfer to bank account indicated below. Please attach a voided check. Settlement Agent does not charge for this service, but be the receiving bank may charge your account for an incoming wire fee. The name(s) on the receiving account must match the name(s) on the Settlement Statement/Closing Disclosure. This information must be verifiable and we must complete verification before we can release funds. Any requests for changes to these wiring instructions will result in a delay in funding. Bank Name:Bank City & State:Account Name (Must Match):Is this a Joint Account?: Yes NoIf Yes, Please list other names:Account Number:Routing Number:Address on Account:SPLIT PROCEED - Are you purchasing another property and need a portion of the funds to be wired to the attorney/escrow company/title company handling your next home purchase or splitting proceeds between multiple sellers? If so, select split proceed, sign below and complete page 2.If you do not select one of the above options or if the information is not complete the funds will be sent via overnight delivery to the |
