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Lead Form Opt (Second Part)
Are you okay, did anyone get hurt?
First Name
Last Name
Phone
Street Address
City
State
ZIP
How long have you owned the property?
How Many Bedrooms?
How Many Bathrooms?
Is there a mortgage that needs to be paid off?
When did the fire occur?
How bad did the fire damage the property?
Severely (Needs to be tore down)
Moderately (Lots of damage)
Partially (Only a few rooms were damaged)
Minor (Just 1 or 2 rooms affected)
Have you already filed an insurance claim?
How Fast Do You Need To Sell?
30 Days or Less
30-60 Days
30 - 90 Days
Has the city ask you to demo this property?
YES
NO
What is Your Asking Price?
If we pay all cash and all closing cost, What's the LEAST you'll take?
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