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First Name

Last Name

Email

Phone Number

Street Address

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

How long have you owned this property

Do you need to sell this property fast? (within 10-60 days) Do you need to sell this 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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