You must have JavaScript enabled to use this form. * required field Your Name Your Email Your Email Please Confirm Email Your Phone Please enter your 10 digit phone number. Your Role Attorney CPA Realtor Title or Escrow Taxpayer Other... (Internet/Trade Show/Etc) Enter other… How did you hear about ITEC? Attorney Closer Realtor Seminar Title or Escrow Company Matt Linville Victoria Templeton Jennifer Gardner Other... (Internet/Trade Show/Etc) Enter other… We value referrals. Who can we thank for your business? Name Company (If Applicable) Exchangor (Taxpayer Doing the Exchange) Name (If Individual) Company Name (If Applicable) Spouse's Name Is Spouse on Title? Yes No Address 1 Address 2 City/Town State - None -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Phone Please enter your 10 digit phone number. Email Email Email Verification Tax ID Number Counsel (Attorney or CPA Advising on the Exchange) Contact Name Firm Name Address 1 Address 2 City/Town State - None -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Phone Please enter your 10 digit phone number. Email Email Email Verification Relinquished Property (Property Being Sold) Property Description Title held in the name(s) of Buyer's Name Effective date of sales contract Please enter date in format MM/DD/YYYY Contract Price $ Upload Relinquished Property Contract Total size of all attachments for this submission must not exceed 20MB.One file only.20 MB limit.Allowed types: txt, pdf, doc, docx. Closing Information (Relinquished Property Closer) Settlement Contact Name Settlement Company Closing Date Please enter date in format MM/DD/YYYY Address 1 Address 2 City/Town State - None -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Phone Please enter your 10 digit Closing Phone number. Email Replacement Property (if known) (Property Being Purchased) Property Description Title held in the name(s) of Seller's Name Effective date of sales contract Please enter date in format MM/DD/YYYY Contract Price $ Attach Copy of Contract Total size of all attachments for this submission must not exceed 20MBOne file only.20 MB limit.Allowed types: txt, pdf, doc, docx. Closing Information (Replacement Property Closer) Settlement Company Settlement Contact Closing Date Please enter date in format MM/DD/YYYY Address 1 Address 2 City/Town State - None -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Phone Please enter the 10 digit Closing Phone number. Email Notes ***Please note that if you do not see the message, "Your Submission has been sent." after you submit or do not receive your copy of the submission to the email provided (from webmaster@invtitle.com), then the submission may not have been successful.***
