Ladas & Ladas, P.C.

Ladas & Ladas, P.C.

Practice Areas

Estate Planning Law
Real Estate Law
Personal Injury Law
Workers' Compensation Law
Social Security Disability Law
Motor Vehicle Accidents

Location:
	90 Rockland Street
	Hanover, MA 02339
	Tel:	781-829-0099
		781-829-8986
		1-800-339-3332
	Fax:	781-829-9191

eladas@ladaslaw.com

Directions

:: Submit Your Seller Information ::

SELLER INFORMATION

Personal Information (*required field)

Your Name*

Your Telephone:

Home:

Work:

Your Email Address:

Your Social Security #:

Co-Seller Name:

Co-Seller Telephone:

Home:

Work:

Your Address:*

City*, State*, Zip:

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

Your Attorney Address:

City, State, Zip:

Phone:

Your Real Estate Broker:

Phone:

Refinance 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:

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