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Identification Removal

This is an to Liberty 1031 Exchange Services, LLC., as ("Qualified Intermediary") under the referenced exchange by and between the undersigned ("Exchanger") and the Qualified Intermediary, regarding the identification of . This Identification Statement is intended to comply with Internal Revenue Code Section 1031(a)(3)(A), by identifying, within 45 days after conveyance of the first , Replacement Property(ies) to be received by Exchanger to complete the exchange.

Required fields are marked with *

Client Name *	Client Phone Number *
Taxpayer Identification Number/ Social Security Number * (ie. 111223333) (required for security purposes)	Exchange Number *
Property or Properties to be Removed * I/We hereby acknowledge that I/WE have read the above statement and I/We hereby REMOVE the above identified Replacement Properties. Your Signature * (print your name(s) above) Note: Submission is not complete until you receive a confirmation from Liberty 1031. Please print and fax this form to Liberty 1031 Exchange Services, LLC., at 305-646-4569