APPLICATION FOR E-TAX PREPARATION ONLY

From:  

Phone:  

       Fax:  

E-mail: 

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         Property  Information.

Premises:  

City/State/Zip:  

County:  

   

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District:  

    Section:      Block:      Lot(s): 

Property Type:  

  

Co-op Name:  

  

Co-op Address:  

City/State/Zip:

 

Total Consideration:

Contract Date: 

Conveyance Dt:

Cond of Transfer:

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         Seller's  Information.

Seller Name 1:  

SS #1:

Street Address:  

City/State/Zip:

Seller Name 2:  

SS #2:

Street Address:  

City/State/Zip:

Seller Name 3:  

SS #3:

Street Address:  

City/State/Zip:

Seller Name 4:  

SS #4:

Street Address:  

City/State/Zip:

 

        Buyer  Information.

Buyer Name 1:  

SS #1:

Street Address:  

City/State/Zip:

Buyer Name 2:  

SS #2:

Street Address:  

City/State/Zip:

Buyer Name 3:  

SS #3:

Street Address:  

City/State/Zip:

Buyer Name 4:  

SS #4:

Street Address:  

City/State/Zip:

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    Buyer Attorney.

Buyer Attorney:  

Street Address:  

City/State/Zip:  

Phone:  

       Fax:  

Contact:  

   E-mail:  

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    Seller's Attorney.

Seller Attorney:  

Street Address:  

City/State/Zip:  

Phone:  

       Fax:  

Contact:  

   E-mail:  

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