Name:
Home Phone:
Cell Phone:
E-mail:
Property Address:
City:
State:		U.S.DelawareNew JerseyPennsylvania
zip/postal:
Block:
Lot:
Is property currently listed with a realtor?		Yes No
If YES, please specify the realtor's name:
Asking Price:
How long has you or your family owned the property?
Does the property have any identifiable features?
Does the property contain wet lands?		Yes No
Has any testing been performed on the property such as soil borings?		Yes No
If YES, what kind of testing was done and what were the results?
Property Zoning:
COMMENTS: