Relinquished Property Application

Title Company Information

Title Company for Title Insurance

Title Number

Closing Agent (If Any)

Phone

Email Address

Property Information

Property Address (Sale)

Tax Parcel Number

Tax Section Number

Tax Lot Number

Tax Block Number

County

Closing Date

Selling Price

Number Of Mortgages On The Property

Mortgage Amount (1)

Mortgage Amount (2)

Mortgage Amount (3)

Exchangor Information

Company NameIf company name on title

Name (1)

Name (2)

Address

City

State/Province

Postal Code

Email Address

Phone

Fax

Exchangor's Attorney

Attorney Name

Address

City

State/Province

Postal Code

Email Address

Phone

Fax

Exchangor's Tax Advisor

Name

Phone

Buyer's Information

Company Name

Name

Address

City

State/Province

Postal Code

Email Address

Phone

Fax

Buyer's Attorney

Name

Address

City

State/Province

Postal Code

Email Address

Phone

Fax

How did you hear about?

Attach Documents Here

Contract of Sale and Title Report

Title Company Information

Property Information

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