12301 Lake Underhill Rd. Suite 405
Orlando, FL 32828
Phone: 407-982-7261
Fax: 407-613-2106
BUYER INFORMATION SHEET
Buyer #1:
Phone #:
Email Address:
Are you a: U.S. Citizen Legal U.S. Resident Foreign Person
Buyer #2:
Phone #:
Email Address:
Are you a: U.S. Citizen Legal U.S. Resident Foreign Person
CONVEYANCES TO FOREIGN BUYERS: Part III of Chapter 692, Sections 692.201 -
692.205, Florida Statutes, 2023 (the “Act”), in part, limits and regulates the sale, purchase and
ownership of certain Florida properties by certain buyers who are associated with a “foreign
country of concern”, namely: the People's Republic of China, the Russian Federation, the Islamic
Republic of Iran, the Democratic People's Republic of Korea, the Republic of Cuba, the
Venezuelan regime of Nicolás Maduro, or the Syrian Arab Republic. It is a crime to buy or
knowingly sell property in violation of the Act. At time of purchase, Buyer must provide a
signed Affidavit which complies with the requirements of the Act.
Current Address:
Forwarding Address:
Marital Status: Single, Married, etc.:
How would you like your name(s) to appear on the Deed?