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Customer

Street

City:

State:

Postal Code:

Phone:

Email:

For Homeowners Only

Bathrooms:

Garage Size:

Number of Bedrooms:

Style of Home:

Location/Subdivision:

Schools:

General Property Information

Built In:

Property Type (residential,
commercial, etc.):

Annual Taxes:

Lot Size:

Special Features:

Property Description/Remarks:

Buyer Incentives:

Asking Price:

Owner Financing Available?  ___ Yes  ___ No

Questions?  Call FSBO Central at 1-800-690-4818 or send Email to contactus@fsbocentral.com - Thank You For Your Business!

For FSBO Central Use. Please Do Not Write Below This Line.

Date Received:                            Fee Received($):                        Property ID#:

FSBO reg form1 (fax).pub  Ver. 3.5  11/17/2003