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Name:

Address:

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e-mail:

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Date of Move:

Location moving to:

Do you live in an:

Rooms - check all that apply

Apartment
House

If apartment, what floor?

Other Items:

Grandfather Clock
Riding Mower
Piano

Type of Piano

Washer
Dryer
Refrigerator
Living Room
Dining Room
Office
Family Room / Den
Basement
Shed
Workshop
Garage
Patio

Number of Bedrooms

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