My Name *
  My E-Mail * required
Telephone * FAX

Date the property (ies) you are selling will close on

If not closed is the buyer's deposit now non refundable Yes No Closed

Final Sales Price of Relinquished Property $

Amount of Cash that will be with QI on close $

Amount of Debt paid off on Relinquished Property $

Name of your QI:

Comments:

Upon receipt of your Close Date Form TM 1031 will send you detailed information on selected properties based on your investor profile.

If you have not already contacted TM 1031, please call us Toll Free
at 1 877 4 TM 1031 to discuss your Replacement Property Requirements and
1031 Strategy to assure a successful completion of your 1031 Exchange.