Your Full Name

Address

City

State/Province

Zip/Postal Code

Country

Phone Number

Ex: (xxx) xxx-xxxx

Cell Phone

Fax

E-mail

Number of unit’s

Construction Type

Lot Size

Rentable Square Footage

Amount of Parking

Year Built:

Lot Size

Number of 1 bedroom:

Number of 2 bedrooms:

Number of Other Bedrooms:

Gross Income per year:

Insurance:

Property Management

Garbage

Are there liens of the property?

Yes No

If yes, what kind and amount

Are you negotiable on price?

Yes No

Are you interested in holding a Second Mortgage for us?

Yes No

Is there any Deferred Maintenance on the Property?

Yes No

if yes, please describe in detail:

Description in details

Why are you selling?

Why are you selling?

Please give us a good description of the property

Yes No

General Area

Yes No

If yes, amount of income from Laundry