First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code:
State:
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Daytime Phone:
Evening Phone:
Email:
What types of property are you intersted in?:
Single Family
Two Family
Three Family
Four Family
Over Four Family
All of the above
What type of rehab work are you comfortable doing?:
Structural (foundation, joists, etc..)
Mechanical (electrical, heating, plumbing, etc..)
Cosmetic (paint, flooring, etc...)
All of the above
What geographic areas are you looking to invest in?:
What are your Exit Strategies for potential investments?:
Lease Option
Wholesale
Rent/Lease Out
Fix and Flip
Sell with Owner Financing
Other
What is the After Repaired Value (ARV) you're looking for?:
How Much Cash Could you come up with to close in 14 days or less?:
How many properties have you purchased in the last 12-months?:
1
2
3
4
5
6
7
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9
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98
99
100
How many properties would you like to purchase in the NEXT 12-months?:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
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100
Security Code: *
