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Subject

Property Intake Form

Source of Lead:

Property Address:

Property County:

Area of Town:

Repairs? And How Much?:

Copy of Deed from County Site:

Owner's Name (As on Deed, All Owners):

Owner's Address (if different than the property):

Owner's Social Security Number(s) (For Authorization to Release Info):

Owner's Email(s):

Owner's Phone(s):

Realtor/Agent Name and Contact Info:

Brokerage Involved (Including Contact Info):

Who is Closing the Deal? (Attorney/Title/Escrow Contact Info):