LICENSE VERIFICATION
Are you a Licensed Real Estate Agent? Yes No If yes, what State(s) / Country are you licensed in?

VERIFICATION OF YOUR ROLE - CHOOSE ONE

1. Principal Owner / Seller / Developer You are the Owner / Developer / Seller and not exclusively working with only one agent. If licensed, you will act as Principal Seller only. 2. Principal Buyer / Investor You are the Buyer / Investor and not exclusively working with only one agent. If licensed, you will act as a Principal Buyer only. 3. Seller's Direct Agent You are a licensed listing agent or agent who has full control/contact with the seller/owner directly and not through any other agent/finder expecting a commission. here if you are a Seller's Direct Agent and use this form. Principals Sellers, please continue down this form. 4. Buyer's Direct Agent You are a licensed agent in direct contact with the actual buyer/investor and not through any other agent/finder expecting a commission. here if you are a Buyer's Direct Agent and use this form. Principals Buyers, please continue down this form. 5. Other (Explain)

CONTACT INFORMATION

Your Valid Email Address (Required) Name & Title Company Mailing Address City, County County State, Zip Code Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Puerto Rico Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Washington (state) Washington D.C. West Virginia Wisconsin Wyoming          Zip Code Office Phone Ext. Cellular / Mobile Phone Pager Number Home Phone Fax Number Your Home Page (if any)

ADDITIONAL INFORMATION

Are you in an Active 1031 Exchange?   YES   NO If YES . . . . . . Facts on the Property you are Selling . . . Status of your Property?        On Market or soon to be        Accepted Contract / In Escrow / Sale Pending        Sold Already : Closing Date / Date of Sale : Sales Price : Total Loans Outstanding at Closing Your Acquisition Criteria: What are you looking to purchase? : Your Price Range Considered : Number of Properties Wanted : Maximum New Loan % Considered : Minimum CAP Rate Considered : Total Cash Available for Purchase : Property Type Wanted : Date Ready to Write Offers Your top 5 choices for Location are... City of   , State of  , County of   City of   , State of  , County of   City of   , State of  , County of   City of   , State of  , County of   City of   , State of  , County of   You will also consider Nationwide   Not Nationwide (describe in box) Besides local brokers and the internet, what other magazines, newspapers, etc. are you utilizing for your search?

ARE YOU A BUYER OR A SELLER?

Indicate if you are a Buyer and / or a Seller of the following Property Types. You will receive our new announcements as soon as we receive them. Note that our Announcements apply to property types nationwide and we are unable to customize Announcements to everyone's individual specifications. If you receive an announcement that is of immediate interest to you, contact us immediately. If there is no interest, simply delete the email. This is a free service to you which involves your attention to trigger action. If you wish to change or delete your property status to minimize the announcements from us, please let us know. You may also request to be removed from our list at any time. You are currently a....   Apartment Building Seller   Sale Lease- Back Seller   Development Site Seller   Single Tenant Property Seller   Industrial Property Seller   Commercial Office Building Seller   Shopping / Strip Center Seller   Ground Lease Seller Other...   Apartment Building Buyer   Sale Lease- Back Buyer   Development Site Buyer   Single Tenant Property Buyer   Industrial Property Buyer   Commercial Office Building Buyer   Shopping / Strip Center Buyer   Ground Lease Buyer Other... In your own words... (the more you supply, the better we may be able to help) The box below is not limited by its size. Type as far to the right or down as far as you wish... Describe details of your real estate situation. This description you provide below greatly determines the quality and speed of our work to assist you - so please comment freely. Please include important information such as time constraints, cash on cash requirements, CAP rate requirements, price ranges, square footage, geographical preferences, etc.