Relinquished Property Form

Role
You Are?
Exchanger
Escrow Officer/Closing Attorney
Real Estate Agent/Broker
Other

Name

Email

Asset Preservation Contact


Escrow Officer/Closing Attorney
Name

Escrow Company

Address

City

State/Zip

Phone

Fax

Email

Escrow or File Number


Exchanger
Exchanger Vesting
(Entity selling property)

Title Held As

Name

Address

City

State/Zip

Phone

Other Phone

Email


Exchanger's Real Estate Agent/Broker
Name

Address

City

State/Zip

Phone

Email


Sale Property
Property Address/Description

City

State/Zip

County

Property Type


Transaction Details
Current List Price
$

Approx. Mortgage Payoff
$

Estimated Closing Date

Is there seller financing?
yes  no

If yes, how much?
$


Additional Information
Additional Information

How did you hear about us?

If other, please describe