First Name Last Name Company Name Years In Business Address City State Zip Email Website Work Phone Home Phone Fax Cellular/Pager YOUR EXPERIENCE/PROPERTY NEEDS: What is your rehab experience? /How many projects have you completed? What type of properties are you looking to purchase? Rehabs (cosmetic)Rehabs (full gut single family)Rehabs (full gut multi)Rental Properties (landlord) In what areas are you looking to purchase properties? What price range of properties are you looking for? Min Price Max Price How many properties are you looking to purchase/rehab in next 6 months? SOURCE OF MONEY: What’s your money source? CashHard MoneyTraditional FinancingOther If Other Do you already have financing/funding in place? YesNo If Yes; What Lender? How quickly can you close? Week15 Days30 DaysOther If Other How did you hear about us?