Please fax a copy of all real estate contracts

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Serving Florida since 1995 239-466-5496 fax 866-839-0429 toll free www.1031company.com Submit by Email Print Form 1031 Information Sheet Please fax a copy of all real estate contracts with this form to 239-466-5496. Name of Titleholder/Client: _____________________________________________________ Street Address: _____________________________________________________________ City: ___________________________________ State: _____________ Zip:______________ Email: ______________________________________________________________________ Telephone: _______________________________ Fax: ______________________________ Seller's Federal ID (social security) # _____________________________________________ Date of Birth: ________________________________________________________________ Relinquished Property Date of Closing: _______________________ Selling Price of Property: _________________ Closing Agent & Contact Phone #: ____________________________________ __________ Relinquished Property Street Address: ___________________________________________ City: __________________________________ State: ______________ Zip: ____________ Realtor: ___________________________________________________________________ Replacement Property (if identified at time of sale of relinquished property) Date of Closing: ____________________Purchase Price of Property: __________________ Closing Agent & Contact Phone #: ____________________________________ __________ Replacement Property Street Address: __________________________________________ City: __________________________________ State: ______________ Zip: ____________ Other Comments: ___________________________________________________________

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