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First Name

Last Name

Email

Phone Number

Property Address

Current condition of the property? Current condition of the property?ExcellentGoodFairPoorTerrible

How long have you owned the property?

Do you need to sell the property fast? (Within 10-60 days) Do you need to sell the property fast? (Within 10-60 days) Yes No

Is there anyone living in the house? Is there anyone living in the house?Yes - OwnerYes - Tenant(s)No - Vacant

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