Fee will be reduced to $575 when Sellers of Investment Property use this online form to Open a New Exchange
Closing Company Name*
Address*
State*
-----Select One-----
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WV
WI
WY
Closing Agent Name*
Closing Agent Email
When do you need Docs?*
File No*
City*
Zip*
Phone#*
-
-
Fax*
-
-
Address*
City*
County*
State*
-----Select One-----
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WV
WI
WY
Sellers who are exchanging:
Names*
Vesting*
Phone#
-
-
Fax
-
-
Email
Sellers not exchanging (if any)
Names
Vesting
Buyers:
Names*
Vesting, if known
Name*
Phone#*
-
-
Relation to Exchanger*
Haven Exchange, Inc. 5942 Edinger Avenue, Suite 113 - Huntington Beach, CA 92649
Toll-Free: (866) 794-1031 Phone: (714) 960-9101 Fax: (855) 960-1031
Copyright 2008
Haven Exchange, Inc.
All Rights Reserved
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