Start Reverse Exchange FormThank you for contacting IPX1031. We look forward to working with you. When completing the below Start a Reverse Exchange form, please provide us with as much information as possible. Please note – you can submit your order form without all the fields completed. We will contact you once your order is received to discuss your upcoming Reverse Exchange transaction. If you have any questions, please email at reverse@ipx1031.com or call Toll Free 888-475-2493.Name of person completing form*Email of person completing form Phone of person completing form*TAXPAYER (EXCHANGER) INFOThe tax owner of the Relinquished Property is termed the “Taxpayer,” and the new property (the “Replacement Property”) will need to ultimately be acquired by the same Taxpayer or through an entity that is disregarded from Taxpayer for federal income tax purposes. Please confirm the vesting of the sale property (e.g. copy of deed when Taxpayer took title).Taxpayer / Entity Name - EXACTLY as on title of the sale property (the “Relinquished Property”)Taxpayer / Entity PhoneTaxpayer / Entity Email Taxpayer / Entity Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country RELINQUISHED PROPERTY(IES) - RLQType of property being sold - RLQResidentialCommericalProperty Address - RLQ Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code County - RLQHow long has this property been owned by the Taxpayer? - RLQIs the Taxpayer the only owner on title? - RLQ Yes NoWhat % does Taxpayer own? - RLQDoes the Taxpayer plan on selling to a related party? - RLQ Yes NoDoes the Taxpayer plan on doing any seller financing for the buyer? - RLQ Yes NoRelinquished Property $ Amounts - RLQPlease provide the approximate $ amounts:Asking Price $Existing Debt $Cash Proceeds (expected at closing) $RELINQUISHED PROPERTY COE - RLQCLOSE OF ESCROW DATE Date Format: MM slash DD slash YYYY Additional Relinquished Property? No YesProperty Type - RLQ2ResidentialCommericalOther - RLQ2Name of Property - RLQ2Property Address - RLQ2 Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code County - RLQ2How long has this property been owned by the Taxpayer? - RLQ2Is the Taxpayer the only owner on title? - RLQ2 Yes NoWhat % Owned - RLQ2Does the Taxpayer plan on selling to a related party? - RLQ2 Yes NoDoes the Taxpayer plan on doing any seller financing for the buyer? - RLQ2 Yes NoRelinquished Property 2 $ Amounts - RLQ2Please provide the approximate $ amounts:Asking Price $Existing Debt $Cash Proceeds (expected at closing) $RELINQUISHED PROPERTY 2 COECLOSE OF ESCROW DATE RLQ2 Date Format: MM slash DD slash YYYY More than 2 Relinquished Properties? No Yes3+ Relinquished Property(ies) - RLQ3+Please provide info for each additional Relinquished Property. Hit the "+" to add each additional Relinquished PropertyAsking Price $Existing Debt (approx) $Cash Proceeds (expected at closing) $Close of Escrow Date Closing Escrow/Title/Attorney Info - Relinquished Property(ies)RLQ Closer NameRLQ Closer Company NameRLQ Closer PhoneRLQ Closer Email RLQ Closer Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code REPLACEMENT PROPERTY(IES) - RPLType of property being acquired - RPLResidentialCommericalReplacement Property Address - RPL Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code County - RPLIs the Seller related to the Taxpayer in any way? - RPL Yes NoWill there be a lender involved? - RPL Yes NoLender Name - RPLLender Company Name - RPLLender Phone - RPLLender Email - RPL Is there a current (less than 6 months old) Phase I Environmental Report available? - RPLWe will require this report if the property is anything other than 1-4 family, residential property. Yes NoReplacement Property Amounts - RPLPlease provide the approximate $ amounts/dates for each Replacement Property. Hit the "+" for each Replacement Property.Purchase Price $Debt Placed on this Property $Improvements (approx value) $Close of Escrow Date Do you plan to make improvements to the property while it is parked with IPX1031? - RPL Yes NoCloser - Replacement Property(ies) - RPLCloser Name - RPLCloser Company - RPLCloser Phone - RPLCloser Email - RPL Closer Address - RPL Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code TAX ADVISOR It is strongly recommended that you seek independent tax advice on this transaction. Reverse Exchange transactions are complex and competent tax advice is very important.Tax Advisor NameTax Advisor PhoneTax Advisor Email Notes / Additional Info
