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Taxpayer/ Exchanger Contact Info
*
Individual
Married Couple
Trust
Corporation
Partnership
Joint Venture
LLC
Taxpayer
Name of Exchanger(s)
Main Contact
Email (If additional emails, separate with semicolon (;))
Phone Number
Property Information (If multiple properties, please separate with a semicolon)
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Closing Company Information
*
Company Name
Escrow/ Closing Officer Name
Email
Phone Number
Closing Date
*
/
Month
/
Day
Year
Exact or Estimated Date
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Additional Party Information (optional)
Agent
Relative
Friend
Other
Relationship to Exchangor
Full Name
Email
Phone Number
Preferred Exchange Officer
Please Select
No preference
Royce Royal
Vanessa Couzens
Tera Walker
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Comments/ Questions
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