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Standard Intake Form
Please tell us about the property you are selling
Sale Property Street Address (and Unit) Only
Zip Only
How is Title Held?**
Legal Name
% Ownership in Property (100 or Actual Share)
Sales Price (whole amount only, no commas)
Your Buyer's Legal Name (Entity or Individual)
Buyer Signing Officer (if Buyer is an Entity)
Estimated Closing Date
Please tell us about the property you are selling
First and Last Name
Your Mailing Street Address (and Suite) Only
Zip Only
Mobile Phone Number***
Exchangers Email
City of Birthday*** (City only please)
Your Settlement Agent Handling Your Closing (Escrow Agent, Title Agent or Attorney)
First and Last Name
Phone
Email
Escrow File# or Name
**IMPORTANT NOTICE: Please select the choice which reflects how title is held or Exchange may be jeoperdized. Call us at 866-944-1031 for questions.

***Mobile Phone Number and City of Birth is REQUIRED for your authentication and security. ATTN: PLEASE SAVE INFORMATION FREQUENTLY AS INFORMATION IS ENTERED