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| Please fill out entire form and return to Complete Property Management Group, Inc. D.B.A. Management Plus Realty Service at 9912 Windisch road, West Chester, Ohio 45069, fax 513-326-2554, or by e-mail at Ryann.Morgan@MPRS.net. This information will not be sold or distributed without prior consent.
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| Community: | * |
| Names of Owner: | * |
| Mailing Address of Owner: | * |
| Email Address: | |
| Day Time Phone: | * |
| Number of Vehicless, Type and License Plate Number: | * |
| Insurance Agent, Name, Phone Number & Address: | |
| EMERGENCY CONTACT: (THIS PERSON SHOULD NOT BE ANYONE LISTED ABOVE. WE PREFER THAT THIS PERSON HAVE A KEY TO YOUR HOME FOR USE IN AN EMERGENCY.): | |
| EMPLOYER NAME, ADDRESS, AND PHONE NUMBER: | |
| IF YOUR UNIT IS RENTED: PLEASE LIST NAME AND PHONE NUMBER: | |
| To prevent automated SPAM, please enter QKNX to submit your form (case sensitive): | * |
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