Exchangor/Taxpayer Information
Name of Exchangor(s) *
Name of Exchangor(s)
Street Address
Street Address
Primary Phone
Primary Phone
Second Phone
Second Phone
Fax
Fax
Relinquished Property Information
Projected Closing Date
Projected Closing Date
Address
Address
Relinquished Property - Realtor Information
Name of Realtor
Name of Realtor
Address
Address
Primary Phone
Primary Phone
Secondary Phone
Secondary Phone
Fax
Fax
Relinquished Property - Closing Information
Name of Closer
Name of Closer
Address
Address
Primary Phone
Primary Phone
Secondary Phone
Secondary Phone
Fax
Fax
Accountant/Attorney Information
Name of Accountant or Attorney
Name of Accountant or Attorney
Address
Address
Primary Phone
Primary Phone
Secondary Phone
Secondary Phone
Fax
Fax
Replacement Property Information
Optional - Fill this in only if you know this information
Projected Closing Date
Projected Closing Date
Address
Address
Replacement Property - Realtor Information
Address
Address
Primary Phone
Primary Phone
Secondary Phone
Secondary Phone
Fax
Fax
Replacement Property - Closing Information
Optional - Fill this in only if you know this inforomation
Address
Address
Primary Phone
Primary Phone
Secondary Phone
Secondary Phone