Condominium Resale Certificate Request Form

Seller's Name
First Last
Association Name
Property Address
Purchaser Name
First Last
Anticipated Closing Date
Date Format: MM slash DD slash YYYY
Sales Price
Requested By: Name*
First Last
Requester Email*
Phone
Signature
Date
Date Format: MM slash DD slash YYYY
Payment & Delivery Method*
Please allow for up to ten (10) days processing period for Certificate with Standard Delivery. Expedited Delivery has up to a (3) day processing period.
Recipient Name*
First Last
Recipient Mailing Address*
Street Address Address Line 2 City State ZIP Code
Recipient Email*
Total
$0.00
Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name