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Name

First Last

Email

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Citizenship Status

US Citizen

Permanent Resident

Bankruptcy in last 4 years?

No

Yes

Foreclosure?

No

Yes

SSN

Fico Score

# of Rehabs

# of Rentals

New Construction

Entity Name

Entity Type

EIN

Date of Formation

MM slash DD slash YYYY

Entity Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Property Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Property Type

Transaction Type

Purchase Price

Arm's Length Transaction?

Yes

No

How was property sourced

Current Debt

Original Purchase Date

MM slash DD slash YYYY

Original Purchase Price

PIN for parcel

Dividing into multiple lots?

Yes

No

# Lots

Is this the original address?

Yes

No

What is the Original Address?

Need Renovation/Rehab?

Yes

No

As-Is Value

Estimated Gross Monthly Rent

Annual Taxes

Annual Insurance

HOA Dues

Utility Expenses

Repair and Maintenance Expense

Property Management

After Repair Value (ARV)

Exit Strategy

Comments

Is the property being converted to condo?

No

Yes

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