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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

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*Last Name:

Primary Phone Number:

Optional Reference Number:

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Click here if there is someone else on title with you...

Click here if title is held in a company name, or Trust...

Contact Information

Email:

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Fax Number:

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Mailing Address 2:

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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?

Click here if you do NOT own this property FREE and CLEAR.

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?:

Click here if you have listed this property with a realtor.

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

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