Are you a New Client?*YesNoYour Name* First Last Land Trust Name:*What would you like your land trust to be named? We recommend to name it after it's street name.Street Address of the Property* 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*Will you be Homesteading this property?* Yes No I would like to set up my Land Trust as follows:*I would like to transfer a property that I already own into a Land Trust - no closing neededI would like the Land Trust to purchase the property I have under contract - closing neededI am purchasing a property and would like the seller to place it into the land trust and become the initial beneficiary - the seller has agreed they will assign their beneficial interest to me - Closing needed (keeps purchase price private)Change Trustee to Common Wealth Trust ServicesDesired Beneficiary's Name if different from current ownerClosing Compay's Name Contact Info*Attach the Purchase and Sale ContractAre you buying this property from a Wholesaler? Yes No Attach your current Land Trust Agreement*How many Beneficiaries in this Land Trust?*1234Beneficiary #1 Name*Tax ID NumberEmail* Phone*% of Ownership*Mailing 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 Beneficiary #2 Name*Tax ID NumberEmail* Phone*% of Ownership*Mailing 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 Beneficiary #3 Name*Tax ID NumberEmail* Phone*% of Ownership*Mailing 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 Beneficiary #4 Name*Tax ID NumberEmail* Phone*% of Ownership*Mailing 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 Do you need a Note & Mortgage prepared by Andrea Aylett-Hosch, Esq?* Yes No Note & Mortgage TermsPlease list lender, loan amount, interest, payments, and any other relatable information.Property ManagerWe provide a complimentary Property Management Agreement. This agreement is between Trustee and the Property Manager of your choice. Who would you like to appoint as Property Manager? (You can appoint yourself or your company)Deposit Information 1. You will receive your paperwork in a minimum of 3 days prior to the closing date to the email you have provided 2. For closings within 3 business days of submission of this application, an additional rush fee of $100.00 will be charged due to the short time frame to prepare and execute documents. NOTE: The $250.00 Deposit will be credited toward this Land Trust. If you cancel after we prepare this Trust, $150 will be credited toward your next Land Trust; the balance is non-refundable. Land Trust Preparation Deposit Price: $250.00 Credit Card MasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name Total $0.00
