Property Owner Questionnaire I Name: Social Security #: Telephone: Day: Evening: Name: Social Security #: Telephone: Day: Evening: Address of Damaged Property: Mailing Address: How interested are you in participating in a property acquisition project and selling your property to the community? 0 Very 0 Somewhat 0 Not at all 0 Undecided Please respond to the following. We will make every effort to answer your questions and address your concerns in publicized information or at future town meetings. (We will not publicize your name.) Use the back of this page, if necessary. Do you have questions that were not answered to your satisfaction either in the informational materials you received or during the town meeting? Please list them below. Would you like more information on any specific topics regarding property acquisition? Please list them below. Please share any additional comments or suggestions you have in the space below. Thank you for taking the time to complete this questionnaire. Property Owner Questionnaire Page 2 Form I-2, Property Owner Questionnaire Page 1 of 1