1031 Loan Application Form

* Name:
Company Name:
*Address:
*City:
*State:
*Zip/Postal Code:
*Business Phone:
Home Phone:
Fax:
Cell/Pager:
*E-mail:
Do you currently have an
exchange open with 1031x.com?		Yes  No
  
Address of the Property you are Selling?
Closing Date of Property you are Selling?
Sales Price of Relinquished Property: $
Mortgage Payoff: $
Amount of Cash You Need: $
Please Note: You must still buy a replacement property for equal or greater value than the Fair Market Value of what you sold, in order to defer all your taxes.

Fee: 1% origination fee--minimum $500
Comments / Questions: