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Record Update Form

2. RECORD UPDATE FORM
   Fill out all areas that are applicable.

   Fill out all areas that are applicable.

4. PIN #:

5. Owner:

7. Physical Address*

   Physical Street # & Name

9. Daytime Phone:

10. Email:

12. Total Rooms:

13. Bedrooms:

14. Full Baths:

15. Half Baths:

17. BEDROOM BREAKDOWN

19. Main Level:

20. Upper Level:

21. Basement/Below Grade:

23. FINISHED LIVING AREA SQUARE FEET

25. Total:

26. Upper Level:

27. Basement/Below Grade:

29. Finished area above garage:

31. Overall Condition:
    -- Select One --NewExcellentGoodAverageFairPoor

33. Additional Information/Comments:

Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field