ACRIS Form

Property Information

1. *Title Number:
2. Address:
3. Condo / Coop Unit:
4. City:
5. State:
6. ZIP Code:
7. County:
8. S:/B:/L:
9. * Property Type: 1-2 FAM WITH ATTCH GAR &/OR VACANT LANE 1-3 FAMILY WITH STORE/OFFICE 4-6 FAMILY WITH STORE/OFFICE APARTMENT BUILDING BULK SALE OF CONDOMINIUMS COMMERICAL CONDO UNIT(S) COMMERICAL COOP Unit(S) COMMERICAL REAL ESTATE CONDO UNIT WITHOUT KITCHEN DWELLING ONLY – 1 FAMILY DWELLING ONLY – 2 FAMILY DWELLING ONLY – 3 FAMILY DWELLING ONLY – 4 FAMILY DWELLING ONLY – 5 FAMILY DWELLING ONLY – 6 FAMILY ENTERTAINMENT/AMUSEMENT GARAGE, 1 OR 2 FAMILY ONLY INDUSTRIAL BUILDING MAIDS ROOM MULTIPLE RESIDENTIAL CONDO UNIT MULTIPLE RESIDENTIAL COOP UNIT NON-RESIDENTIAL VACANT LANE NOT APPLOCABLE OFFICE BUILDING OTHER PARKING SPACE RELIGIOUS STRUCTURE RESIDENTIAL VACANT LANE RETAIN BUILDING SINGLE RESIDENTIAL CONDO UNIT SINGLE RESIDENTIAL COOP UNIT STORAGE ROOM TIMESHARE UTILITY
10. * Are there additional parcels?
    Yes No
11. Please list additional parcels to be examined:
12. Purchase Price:
13. Contract Date:
14. Date of Conveyance:
15. Dimensions of Property: x

Grantor (Seller) Information / Address after Transfer

Grantor #1

1. First Name:
2. Last Name:
3. SS #:
4. Address:
5. Address 2:
6. City:
7. State:
8. ZIP Code:
9. County:
10. Telephone:
11. Email:

Grantor #2

1. First Name:
2. Last Name:
3. SS #:
4. Address:
5. Address 2:
6. City:
7. State:
8. ZIP Code:
9. County:
10. Telephone:
11. Email:

Grantor #3

1. First Name:
2. Last Name:
3. SS #:
4. Address:
5. Address 2:
6. City:
7. State:
8. ZIP Code:
9. County:
10. Telephone:
11. Email:

Grantor #4

1. First Name:
2. Last Name:
3. SS #:
4. Address:
5. Address 2:
6. City:
7. State:
8. ZIP Code:
9. County:
10. Telephone:
11. Email:

Grantor's Attorney

1. First Name:
2. Last Name:
3. Address:
4. Address 2:
5. City:
6. State:
7. ZIP Code:
8. Telephone:

Grantee Information / Address after Transfer

Grantee #1

1. First Name:
2. Last Name:
3. SS #:
4. Address:
5. Address 2:
6. City:
7. State:
8. ZIP Code:
9. County:
10. Telephone:
11. Email:

Grantee #2

1. First Name:
2. Last Name:
3. SS #:
4. Address:
5. Address 2:
6. City:
7. State:
8. ZIP Code:
9. County:
10. Telephone:
11. Email:

Grantee #3

1. First Name:
2. Last Name:
3. SS #:
4. Address:
5. Address 2:
6. City:
7. State:
8. ZIP Code:
9. County:
10. Telephone:
11. Email:

Grantee #4

1. First Name:
2. Last Name:
3. SS #:
4. Address:
5. Address 2:
6. City:
7. State:
8. ZIP Code:
9. County:
10. Telephone:
11. Email:

Grantee's Attorney

1. First Name:
2. Last Name:
3. Address:
4. Address 2:
5. City:
6. State:
7. ZIP Code:
8. Telephone:

General Comments

1. Comments:

Confirmation

IMPORTANT – This information is emailed to the ACRIS desk. You should receive a confirmation shortly. If you do not hear from us within TWO hours, please call the ACRIS desk at 516.355.0800.

2. * Required