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Name

Last: First:


Telephone

Office:
Home:
Fax:
Email:


Address
Street:
City:


Type:

Single-Family Residence Condo Townhouse
2-4 units multi-family

Property Value:
Owner Occupied:
Yes
No



Purchase:
Down Payment:
Estimated Close of Escrow:
   
Agent's Name:
Agent's Office:
Agent's Office Telephone:
Agent's Cellular:

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Refinance
Year Acquired:
Cost:
Loan Balance:
1st Mortgage Rate:
Term (yrs.):
2nd Mortgage Rate:
Term (yrs.):
       

Annual Property Taxes:
Homeowners Insurance:
Homeowners Association Fee (if applicable):

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