Resale Certification Form — MSLA Organization

Please complete this resale certification form, and we will be in touch within 2 business days.

Title Company Representative

First Name

Last Name

Title Company Name

Title Company Phone

(###)

###

####

Title Rep Email

Buyer

First Name

Last Name

Buyer Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Buyer Email

Buyer Phone

(###)

###

####

County Property ID

Closing Date

MM

DD

YYYY

Real Estate Agent Name

First Name

Last Name

Real Estate Agent Email