§1031 Tax Deferred Exchange Online Order Form

		§1031 Tax Deferred Exchange Online Order Form

To Initiate a §1031 exchange, please complete the information below.

An Exchange Consultant will contact you or you may call us directly at 1-877-937-1031.

Party Opening Exchange Order:

	I am the:
	Name:(required)
	Phone:(required)
	E Mail:

	How did you hear about us?
	Name:
	Phone:
	E Mail:


Exchanger Information:

	Exchanging Entity:
	Contact Name:
	Address:

	City:
	State:		Zip:
	Phone:
	Fax:
	Email:


Sale Property Information:



	Address or APN:

	City:
	State:		Zip:


	Type of Property:
	Sales Price:	$
	Debt on Property:	$
	Estimated Closing date:






Sale Escrow or Closing Information:



	Company:
	Escrow/Order Number:
	Contact:
	Address:

	City:
	State:		Zip:
	Phone:
	Fax:
	Email:






Sale Real Estate Agent Information:



	Company:
	Agent Name:
	Address:

	City:
	State:		Zip:
	Phone:
	Fax:
	Email:

	Comments:


		Print this form for your records prior to submitting.


		Submitting this form does not obligate you to utilize Granite Exchange Services, Inc.as your "Qualified Intermediary". An Exchange Consultant will contact you upon receipt of this order.