FDF
exstra_collectables_form.pdf
Email: [email protected]
Page 1 of 2
Fax: 888-876-3583
Collectables Exchange Worksheet
Exchangor/Taxpayer Information:
Name:
□
Individual(s)
□
Trust
□
Partnership
□
Corporation State of Formation:
□
Other
Contact Person, if not an Individual:
Mailing Address:
Phone:
Email:
Replacement Property Information:
Description:
Estimated Purchase Price:
Closing costs, if any:
Loan amount:
Lender:
□
Interest Only
□
Amortizing
Gallery/Auctioneer/Seller:
Purchase location:
Expected Purchase Date:
Relinquished Property Information:
Description:
Estimated Sale Price:
Existing Loan Amount, if any:
Gallery/Auctioneer/Seller:
Sale location:
Expected Sale Date:
Estimated amounts, if known:
Sale Price:
Debt Payoff:
Cost Basis:
Email: [email protected]
Page 2 of 2
Fax: 888-876-3583
Collectables Exchange Worksheet
New Property Gallery or Auctioneer:
Company Name:
Contact Name:
Reference #
Contact Phone:
Contact Email:
Exchangor’s Advisor:
Firm Name:
Contact Name:
Role:
Address:
Phone:
FAX:
Email:
Exchangor’s Lender:
Firm Name:
Contact Name:
Role:
Address:
Phone:
FAX:
Email:
Old Property Gallery or Auctioneer:
Company Name:
Contact Name:
Reference #
Contact Phone:
Contact Email: