| Company Name: |
|
| First Name: |
|
| Last Name: |
|
| Address Street 1: |
|
| Address Street 2: |
|
| City: |
|
| Zip Code: |
(5 digits) |
| State: |
|
| Daytime Phone: |
|
| Cell Phone: |
|
| Email: |
|
|
|
|
Currently Hold a Real Estate License |
|
Loan Broker / Intermediary |
|
Principal buying for own account |
|
Currently hold loans |
| |
Non/Sub Performing Loans |
| |
Performing Loans |
|
Please detail your buying parameters; size, region, property type, etc. |
|
|