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Name
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Online Username
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Address
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City
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State
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Zip Code
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E-mail Address
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Phone Number
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State ID #
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County parcel is in
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Street Parcel is on
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Lot #
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Parcel ID #
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| I acknowledge that:
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| I do I do not own other property in this county (used to determine eligibility).
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| I am currently up to date on my taxes and association fees on all other parcels I own.
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| I currently own property within the same association where the reference parcel is located and desire a discount.
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| I currently own property that is immediately adjacent to the reference parcel and desire a discount.
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| I agree to pay the full amount due within 5 business days of being confirmed as an eligible purchaser.
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