Application Form

Thank you for using our website for the closing about which you have inquired. Using the website will facilitate and expedite the closing. Please fill out the form below carefully and correctly. You must fill out the Lender’s name as it appears on the stock certificate stock power. You must fill out the Cooperative as it appears on the stock certificate. Upon completion please click the submit button. You will receive an email confirming that the closing process has commenced and thereafter you will receive a subsequent email directing providing you with a code and webpage to obtain the closing costs.

Date
 mm/dd/yyyy
Cooperative Name
 (exactly as it appears on stock certificate)
Seller
 (exactly as it appears on stock certificate)
Seller Apt. No.
Seller Street Address
Seller City
Seller State
Seller Zip
No. Shares
Proprietary Lease Date
 mm/dd/yyyy
Seller Attorney
Seller Attorney Email
Seller Attorney Phone Number
 XXX-XXX-XXXX
Seller Attorney Fax Number
 XXX-XXX-XXXX
Purchaser
 (exactly as you would like it to appear on stock certificate)
Purchaser Street Address
Purchaser City
Purchaser State
Purchaser Zip
Purchaser Attorney
Purchaser Attorney Email
Purchaser Attorney
Phone Number
 XXX-XXX-XXXX
Purchaser Attorney
Fax Number
 XXX-XXX-XXXX
Purchase Price
Down Payment
  Please confirm that the above information is complete and accurate by clicking on the “submit” button below.