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Resales Request Form


Request Date: *
Seller's Name:*
Buyer's Name:*
Property Address:*
Date of Settlement: *
Sale Price:*
Payment Submitted:*
Requester's Name:*
Requester's Email Address:*
Telephone #:*
Fax #:*
Mortgage Clause as it needs to appear on the Certificate:*
Special Instructions:
Attach Forms:
To prevent automated SPAM, please enter RF4K to submit your form (case sensitive):*
 

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