YOUR CONTACT INFORMATION

First Name *

Last Name *

Best Contact Email *

Best Contact Number *

PROPERTY INFORMATION

Property Address *

Parcel I.D / APN *

Property City *

Property County *

Property State *

Road Access? *

Water / Sewer Access? *

Recent Survey or Perc Test Completed? *

Any Unpaid Taxes or Liens?

Sellers Asking Price? *

ADDITIONAL INFORMATION

How are you related to the deal? *

Is the property currently listed on market? *

Do you currently have the property under contract? *

Any Additional Lead Notes or Addresses?

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