BASE COMPANY, INC

Ready to Begin?


WHEN READY TO BEGIN YOUR EXCHANGE


Two weeks prior to your closing complete this form and fax along with the contract (Purchase and Sales Agreement) to: Base Company 678-298-1616.

Related Property and Owner Finance

Call now to find out how: 678-495-1860

Your Name: ___________________________________________________________   

1) Name that appears on title:  

  ______________________________________________________________________________                                                                 


2) Your Address:


 ______________________________________________________________________________

     
3) SS# or Tax ID: ________________________________________________________

 
Home Phone: __________________________ Office: ___________________________

 
 Cell Phone: _____________________________ Fax: ___________________________
 

 E-Mail Address: ___________________________________________________                       
 

5) Property Address Selling: _______________________________________________


                                                _______________________________________________

Buyer’s Name: __________________________________________________________

Date Contract Signed & Sales Price: __________________ $____________________

 
Closing Attorney:      _____________________________________________________
 

Contact Person: _______________________________ Date of closing: ____________

 

Attorney phone: __________________________ Fax: __________________________
 
E-Mail (if available) ________________________________________

 Tell us who referred you ________________________________________