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Property Information
Name
First Name
Last Name
Email
Company
CompanyOrganization or Company (with controlling interest)
Your Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
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Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
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New York
North Carolina
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Ohio
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Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands (US)
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces (the) Americas
Armed Forces Europe
Armed Forces Pacific
Army Post Office (U.S. Army and U.S. Air Force)
Fleet Post Office (U.S. Navy and U.S. Marine Corps)
State
ZIP Code
Contact Phone Number
What is Intended Use For This Property?
Community Garden
Green House
Play Area
Build Home
Build Shed/Garage
Demolish Existing Structure
Rehab Existing Structure
Primary Residence
Rental
Other:
Other Value
(If Other, please indicate in description of planned improvements)
Description of planned improvements
Timeline for improvements
Total Projected Cost of Improvements
How will the purchase and improvements be funded?
Will your project include community support?
Yes
No
Delinquent Property Taxes
Yes
No
List addresses of other properties you own
Will the planned improvements cost $10,000 or more?
Yes
No
If yes, please upload your financial documents in a zip file
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