ACRIS & Westchester Order Form

Please complete all information accurately to ensure timely processing. Fields with a red dot (*) are REQUIRED.

PROPERTY INFO

Address

Section

Block

Lot

Type:

Co-op Real Property

Town/Village

Lot Size

Or Lot Size in Acres

Assessed Value

School District Name

Property Class

Year of assessment roll from which info taken

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PARTIES INFO

SELLERS NAME

Address

SSN

Add'l Sellers Name

Telephone

BUYERS NAME

SSN

Add'l Sellers Name

Address

Telephone

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CONVEYANCE INFO

Purchase Price

Continuing Lien Deduction

Gross up rule applies if BUYER pays transfer tax

Contract of Sale Date

Date of Closing

Email address you want a copy of this form sent to