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Owner Information

Is the property held in a company name, or Trust?

This property is owned by:

Individual(s)

Company/ Entity

*First Name:

*Last Name:

Primary Phone Number:

Optional Reference Number:

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Contact Information

Email:

*Primary Phone Number:

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Fax Number:

*Mailing Address:

Mailing Address 2:

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*City:

*State:

*Zip Code:

Property Information

*What State is the property located in?:

*What County is the property located in?:

*What is the property’s APN?:

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What is the size of the property?:

	Acres	OR
	SQ. FT.

Is there an HOA in this area? If yes, what is your annual HOA dues?

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Are there any improvements on the property?:

House
Shed
Mobile Home
RV Hookup
Septic System
Well
Fence

Other:

Are there power lines to the property?:

Does the property have Road Access?:

How long have you owned your property?:

Yrs

How did you acquire this property?:

What is your estimated value for the property?:

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Is there anything else about the property that we should know about?

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Owner Information

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