Property Intake Form

Your Name(Required)

First Last

Your Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP

Phone(Required)

Email(Required)

Enter Email Confirm Email

Vacant Lot Address

Parcel Identification Number

Explain the intended use of the vacant lot(Required)

Once the lot is purchased, how soon will you transform the lot into its intended use?(Required)

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