Your Property Information

First name     *

Last Name

Address

Town/City

State

Zip     *Co de

Telephone #

E-mail Address

Name of Owner/Owners Of Record with county ?

Property Address ?

Property City ?

Property State ?

Property Zip ?

Parcel Number (APN) ?

Size of Property (In Sqft Or Acres) ?

Are there any improvements on the property: Well, Septic System, Fence, Other?

Does the property have road access? Dirt, Paved, etc. ?

Is there Electricity to the Property or in the area ?

How long have you owned the property ?

How did you acquire the property ?

Do you own the property free and clear? ( If No Please Explain)

Do you owe any back Property Taxes?

Do you Know the worth of the property ?

How did you come to this value ?

Do you have any additional Properties(land) that you would like to sell ?

(If so please fill out another form for these properties)

Any other comments ?