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Applicant Info

Full Name

Phone

General Info

Title No.

Total Consideration

Date of Conveyance

Contract of Sale Date

Condition of Transfer

Fee Interest Foreclosure Family Transfer Other

Property Info

Address

Borough

Section

Block

Lot

Select Residential or Commercial

Residential Commercial

Property Info

Property Type

Co-op Name (if app)

Seller Info

Is the seller?

Name

SSN

Address (after closing)

Additional Seller Notes

Additional Seller 2

Is the seller?

Seller Name

Seller SSN

Seller Address (after closing)

Notes for above Seller

Enter info for Additional Sellers

Add sellers

Buyer Info

Is the buyer?

Buyer Name

Buyer SSN

Buyer Address (after closing)

Additional Buyer 1

Buyer Name

Buyer SSN

Buyer Address (after closing)

Additional Buyer 2

Buyer 2 Name

Buyer 2 SSN

Additional Buyers

Add additional Buyer Info here or upload

Additional Info

Upload any additional information

Add any Additional Info to this submission