Law Offices of Timothy A. Reilly, P.C.

Practice Areas

Springfield Office:
1350 Main Street, 4th Floor
Springfield, MA 01103
Tel: 413-739-1110
Fax: 413-586-9440
treilly@reillylaw.net

Northampton Office:
82 1/2 Maple Street
Florence, MA 01062
Tel: 413-584-9900
Fax: 413-586-9440
treilly@reillylaw.net

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: