ACRIS/PREP Form - Freedom Land Title Agency

ACRIS/PREP Information

Purchase Price*:

$

Title Number*:

Contract Date*:

Closing Date & Time:

Location Information

Premises*:

City/State/Zip*:

Property Size/Acres:

Assessed Value:

$

Property Class Code:

District:

Section:

Block:

Lot:

Seller Information

Seller/Entity*:

SSN/EIN*:

Seller:

SSN/EIN:

Single Member Name (LLC):

SSN:

Address*:

Seller's Attorney

Name*:

Address:

Phone:

Email*:

Purchaser Information

Purchaser/Entity*:

SSN/EIN*:

Purchaser:

SSN/EIN:

Single Member Name (LLC):

SSN:

Address*:

Purchaser's Attorney

Name*:

Address:

Phone:

Email*:

Additional Information

Buyer is Paying Transfer-Tax*:

YES

NO

Special Instructions:

* indicates a required field