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Applicant Information
* Name:
* Telephone:
* Email:
General Information
* Title No:
* Total Consideration:
* Date of Conveyance:
* Contract of Sale Date:
* Condition of Transfer:
Property Info
* Address:
* City:
* State:
* Zip:
Borough:
Section:
Block:
Lot:
Size of Lot:
* Assessed Value:
School District:
* Type of Property:	Residential         Commercial
	1-2 family         Condominium 3 family           Co-op WITH insurance 4-6 family         Co-op WITHOUT insurance 7+ family         Vacant Land / All Other Store and Dwelling (Mix Use)
Seller
Name:
Address (after closing):
Social Security No.:
Second Seller Name:
Second Seller Address:
Second Seller Social Security No.:
Third Seller Seller Name:
Third Seller Address:
Third Seller Social Security No.:
Buyer
Name:
Address (after closing):
Social Security No.:
Second Name:
Second Buyer Address:
Second Buyer Social Security No.:
Third Buyer Name:
Third Buyer Address
Third Buyer Social Security No.:
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