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[Additional Comm uw ,. <br />54. Is there anything that you would like to tell us about the property or the occupants? <br />54. Hay algo mks gue le gustaria deesnos sohre la propiedad o los ocupantes? <br />All of the above information I have given is true and accurate to the best of my knowledge: <br />Toda is information proveido es verdadera y exacta de acuerdo a mi mejor conocimiento: <br />Name of Respondent (print name) <br />Nomhre del Enb-evistado (letra de molde) <br />Name of Respondent (print name) <br />Nomhre del Enb-evistado (letra de molde) <br />Signature of Respondent <br />Firma del Enb-evistado <br />Signature of Respondent <br />Firma del Enb-evistado <br />Interviewee has cooperated in the interview, but refused to sign above ❑ <br />Interviewee refused to be interviewed ❑ <br />Date <br />Fecha <br />Date <br />Fecha <br />Information submitted has been provided by others: Neighbors❑ Other relatives❑ Relocation Agent❑ <br />Interviewer/Relocation Consulting Agent (please print then sign) <br />Epic land Solutions, Inc. <br />Relocation Consulting Firm <br />Date <br />ADDITIONAL PAGES ATTACHED Yes ❑ No❑ <br />Page 8 of 8, Residential Survey /Interview 55B -61 rev.09 115 <br />