LRO Questionnaire

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Ownership Entity Name*

Doing Business As (if applicable)

Business Physical Address*

Street Address Address Line 2 City State ZIP Code

*If your state is not shown, then JMG may not have a market for this state.

Mailing Address

Same as previous

Year Built

Total Square Footage

HVAC

Plumbing

Electrical

Roof

Total Number of Units*

Type of Occupancy*

Any Claims In The Last Five Years*

Employee Count

Estimated Annual Payroll

Estimated Annual Rents

Contact Person Name*

Phone Number*

Email Address*

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Agent

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