Law Offices of Barr & Cole

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Seller Information

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Co-Seller Name:

Co-Sellerr Telephone:

Home:

Work:

Your Address:*

City*, State*, Zip:

Your Attorney (If any or, If not our office):

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Mortgage Payoff Information

Current First Mortgage Lender:

Loan/Account Number:

Lender Telephone:

Current Equity / Second Mortgage Lender:

Loan/Account Number:

Lender Telephone:

Notes or Special Instructions to us:

© 2006 Law Offices of Barr & Cole

1172 Beacon Street, Suite 202, Newton, MA 02461

(617) 969-1381 (617) 969-0181 FAX

info@barrandcole.com

Copyright 2006. All Rights Reserved. Law Office of Barr & Cole.

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