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   C O N F I D E N T I A L   
*Items marked with a red asterisk are required. If you are unable to answer a required question, give us your best guess or enter a "?", "NA", "0", "don't know", etc.  Click here to use our Secure & Confidential Questionnaire.
Your Contact Information
*First Name *Last Name
Company Name
Address
City  State  Zip 
*Email Website
*Work Phone Home Phone
Fax Cellular/Pager
Your Property Needs
What type of properties are you looking to purchase?

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In what areas are you looking to purchase properties?
What price range of properties are you looking for? to
How many properties would you like to purchase per month?
How do you plan to purchase the properties we find for you? Cash
Traditional Financing
Hard Money
Do you already have financing/funding in place? Yes No
If we find you a deal, how quickly can you close?
What is your expected profit per property? $
What level of property repairs do you feel comfortable with?
Do you ever find deals that you can't handle for whatever reason? Yes No
Are you looking for partners? Yes No
*How did you hear about us?
Do you have any questions or comments you would like to share with us?
*Verification
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C O N F I D E N T I A L

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