Like-Kind Exchange Order Form | Investors Title Exchange Corporation

From: (Name)*

Telephone:

Fax:

Email:

How did you hear about ITEC? Check all that apply

Attorney
Realtor
Seminar
Publication
Closer
Other (Internet/Trade Show/Etc.)

Exchange Information:

EXCHANGOR:

Name:

Spouse's Name:

Is Spouse on Title?

Yes

No

Address:

City:

State:

Zip Code:

Telephone:

Fax:

Email:

Tax ID Number:

COUNSEL (The Attorney or CPA advising you):

Name:

Mailing Address:

Telephone:

Fax:

Email:

Relinquished Property:
(Fax a copy of the contract(s) for the sale of relinquished property to 1-800-653-9811 or you may email it to exchanges@invtitle.com)

Property Description:
Title held in the name(s) of:
Buyer's Name:
Effective Date of sales contract:
Contract Price:

CLOSING INFORMATION:

Settlement Agent:

Closing Date:

Address:

City:

State:

Zip Code:

Telephone:

Fax:

Email:

Will Seller Be at Closing?

Yes

No

Will Buyer Be at Closing?

Yes

No

Replacement Property (If Known):

(Fax a copy of the contract(s) for the purchase of replacement property to 1-800-653-9811 or you may email it to exchanges@invtitle.com)

Property Description:
Title to be held in the name of:
Seller's Name:
Effective Date of sales contract:
Contract Price:

CLOSING INFORMATION:

Settlement Agent:

Closing Date:

Address:

City:

State:

Zip Code:

Telephone:

Fax:

Email:

Will Seller Be at Closing?

Yes

No

Will Buyer Be at Closing?

Yes

No


To: Investors Title Exchange Corporation Attention: Exchange Coordinator Telephone: 800/724-8791 Fax: 800/653-9811 Email: exchanges@invtitle.com
In order to successfully submit this form, you must at least enter your name and either your telephone number or email address.