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1031 exchange: Order Online

Please complete the following information, (your gift will be sent to you!)
or Print out this form to complete and fax to us by clicking here, (your gift will be sent to you!)
or Call an exchange coordinator toll-free 1-888-899-1031,
or Click here to have an exchange coordinator call you.

Please note: This form will start the process, but no exchange agreement will be in effect until you receive an exchange agreement from us. Please contact us at 888-899-1031 or email us if you don't get a response within two business days. Looking forward to working with you!

Exchanger Information

Your Name:
Street Address:
City:
State:
Zip/Postal Code:
Business Phone:
Home Phone:
Fax:
Cell Phone :
E-mail:
Check all that apply:
     Previous Client    New Client    Real Estate Agent   CPA
Comments:
Relinquished Property Information
Closing Date:
Contract Date:
Property Address:
City:
State:
Zip/Postal Code:
Seller's Name (as it appears on title commitment):
Buyer's Name (as it appears on title commitment):
Sales Price:
Equity:
Property Type:
Closing Agent Information
Closing company file number:
Closing / Title company:
Closing agent Name:
Closing agent phone number:
Closing agent Email Address:
Real Estate Agent
Real Estate agent's name:
Real Estate agent's phone #:
Real Estate agent's email:
Additional Questions
Did you speak with a 1031x.com Representative?
    Yes   No Name (if you remember)
Are you interested in taking cash out of your property before you close? (See Cash Out Options)
    Yes   No
Will you be providing seller financing on the sale of this property?
    Yes   No
Was the property to be sold held for:
     investment  productive use in trade or business  primary residence
When do you plan on purchasing a replacement property?
    immediately  1 month  2-3 month  3-6 month
What type of property are you looking for?
     commercial property  multifamily residential  investment residential
      land  TIC property  other
Where did you hear about us?
     previous Client  internet  referral  advertisement  other

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