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Please fill out the following information about your property.

Providing this information enables us to process your donation as efficiently as possible.

DONOR INFO

Full Name*

Phone

Email Address*

Message*

Address

City

State

Zip

PROPERTY INFO

Property Owners Name*

Address or block and lot *

APN or Pin Number (if available)

City*

State

Zip*

Type of Property*

Property Taxes (approximate) $*

Association fees $*

Is there a mortgage or lien on property?*

Have you tried selling the property?*

Is the property occupied?*

Are utilities connected to the property?:*

Where did you hear about us?*

Additional Comments:*

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