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YOUR INFORMATION
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Name:
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Phone Number:
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E-mail Address:
Address:
City:
State:
ZIP Code:
PROPERTY INFORMATION
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Owner’s Name:
Property Address:
Property City:
Property State:
Property ZIP:
Do you have the deed:
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No
Legal Description or Tax Parcel Number:
What would you like done:
Are you working with a title company:
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No
If yes, title company name:
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