Title No.
Closing Date:
Property Address:
County:
Block:
Lot:
Seller's Name:
SS#/Tax ID#:
Seller's Name:
SS#/Tax ID#:
Address:
City, State, Zip:
Purchaser Name:
SS#/Tax ID#:
Purchaser Name:
SS#/Tax ID#:
Address:
City, State, Zip:
Consideration: $
Sales Contract Date:
Property type:
1-2 Family Dwelling
Condominium
3 Family Dwelling
Co-op
Commercial
Other
NOTE: FORM MUST BE FAXED TO US 24 HOURS PRIOR TO CLOSING!
TRANSFER TAX AND RELATED DOCS NY01: ACRIS FILING INFORMATION SHEET