*Escrow Officer, Closing Agent or Buyer's Attorney:

Escrow Company:

*Escrow Email Address:

Escrow Address:

Escrow City:

Escrow State:

Escrow Zip Code:

Escrow Phone Number:

Exchanger Title:

Exchanger First Name:

Exchanger Last Name:

Exchanger Address:

Exchanger City:

Exchanger State:

Exchanger Zip Code:

Exchanger Day Phone:

Exchanger Night Phone:

Exchanger Cell Phone:

Exchanger Email:

Exchanger Fax:

Pricing:

Non-Money Market $495

Money Market $995

Seller's Attorney First Name:

Seller's Attorney Last Name:

Seller's Attorney Address:

Seller's Attorney City:

Seller's Attorney State:

Seller's Attorney Zip:

Seller's Attorney Phone:

Seller's Attorney Fax:

Seller's Attorney Email:

Seller's Agent First Name:

Seller's Agent Last Name:

Seller's Agent Firm Name:

Seller's Agent Address:

Seller's Agent City:

Seller's Agent State:

Seller's Agent Zip:

Seller's Agent Phone:

Seller's Agent Cell Phone:

Seller's Agent Email:

Seller's Agent Fax:

Property to be sold

Est. Property Value:

Est. Closing Date:

Property Address:

Property City:

Property State:

Property Zip:

Vesting:

Property Percentage Owned:

Buyer First Name:

Buyer Last Name:

Who referred you to us:

Existing Rewards Member name or number:

Promo Code:

Please look over this form to ensure the information is accurate, property values and closing dates can be best guess estimates.

*Indicates Response Required

1031 Exchange Advantage - A 1031 tax deferred real estate exchange accommodator

Property to be sold