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    Resale Certificate Request Form

    Property Information

    Address:
    City:
    Zip:

    Current Owner(s):

    Requesting Party Information

    Name:
    Entity:
    Address:
    Email:
    Telephone Number:

    Delivery Information

    How should FCCSA deliver the Resale Certificate? (one must be selected below)
    *FCCSA will provide within three(7) to ten(10) business days of receipt of request and fee*

    **Other Address:

    $275.00 Fee Must Accompany this Request in Order for FCCSA to Process a Resale Certificate

    $250.00 TRANSFER FEE WILL BE DUE AT CLOSING
    (REFER TO STATEMENT OF ACCOUNT) to request a SOA email acctg@firstcolony.org

    Credit Card:
    Transaction Fee: $8.25
    Amount:
    Card Number:
    Exp Date:
    Name:
    Security Code:
    Email:
    Phone:
    Signature:
    Date: