Open An Exchange for the Buyer

Complete this Form to Open a New Exchange Doc for Buyer

Officer*

Assistant

City*

Phone#*

Fax#*

Is this a Rush?*

Yes

Exchange #*

Property Address*

	Exchanger/Buyer*
	Other Buyers

Exchanger Phone#*

Exchanger’s Agent

FAX/Email

Agent Ph.#

Seller*

Haven Exchange, Inc.2124 Main Street, Suite 165 - Huntington Beach, CA 92648

Toll-Free: (866) 794-1031 Phone: (714) 960-9101 Fax: (866) 342-6162 Alt-Fax: (714)2000120