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Client Information

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Property Information

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Approx Square Footage: Approx Lot Size: Property Vacant: Select Yes No REO Number: For Sale: Select Yes No Realtor: Realtor Number:

Service Needed

Full Trash Out: Select Yes No Photos Required: Select Yes No Secure Debris Removal Lawn Clean up Cleaning Other Active Utilities: Gas Electricity Heat Water/Sewer

Estimate Interior Debris: Select Light Moderate Heavy Estimate Exterior Debris: Select Light Moderate Heavy Additional Comments:

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