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Coco Republic Realty Group

Agreement

Date

Listing Term

Property

Transaction type

Property description

Address

Folio Real

Plano Catastral No.

List Price (USD — numbers only)

Seller

Full legal name

Nationality (foreign sellers only)

Cédula / Passport No.

Civil status

Occupation

Domicile (city, country)

Corporation / Rep (if any)

Second Seller (optional)

Full legal name

Nationality (foreign only)

Cédula / Passport No.

Broker Signatory

Signing agent

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