Your Name:

Phone:

Fax:

E-Mail:

Property Type: Apartment Mobil Home Park Office Medical Unanchored Retail Anchored Retail Industrial Self Storage Hotel Nursing Home Restaurant

Location:

Size:

Age:

Condition:

Occupancy %:

Potential Gross Income:

Vacancy:

Expenses:

(Do expenses include Management Fees?) Yes No

(Do expenses include Reserves?) Yes No

Net Operating Income:

Your estimate of value:

Is this a purchase or refinance? Purchase Refinance

How much do you want to borrow?

How much do you owe?

Are personal guarantees available? Yes No Maybe

Anything else we ought to know?