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YOUR PERSONAL INFORMATION

FULL NAME •

E-MAIL •

CURRENT HOME ADDRESS

CITY STATE ZIP

BUSINESS NAME

BUSINESS ADDRESS

CITY STATE ZIP

YOUR ANNUAL INCOME

LOAN AMOUNT DESIRE

ESTIMATED CLOSE DATE

LENGTH OF LOAN DESIRE

REPAIR FINANCING NEEDED

FOUNDS YOU HAVE FOR CLOSING (IF NEEDED)

PROPERTY ADDRESS

CITY STATE ZIP

LEGAL DESCRIPTION

PURCHASE PRICE

ESTIMATED REPAIRS

AFTER REPAIR VALUE

KEY MAP YEAR BUILT

BEDROOMS BATHROOMS GARAGE SQUARE FOOTAGE

SLAB OR BLOCK FOUNDATION CENTRAL AIR/HEAT

INSURANCE CARRIER INFORMATION

HOW MANY YEARS HAVE BEEN BUYING, RENOVATING AND SELLING HOMES?

IN WHAT AREA OF TOWN DO YOU PURCHASE HOUSES?

HOW MANY HOUSES HOUSES HAVE YOU PURCHASED AND RENOVATED?

HOW MANY OF THOSE WERE IN THE LAST 12 MONTHS?

WHAT PRICE RANGE DO YOU PREFER WHEN PURCHASING HOUSES?

DO YOU REQUIRE FINANCING?

IF SO, WHERE DO YOU USUALLY OBTAIN FINANCING?

ARE THERE ANY JUDGMENTS AGAINST YOU OR YOUR COMPANY?

ARE YOU OR YOUR COMPANY CURRENTLY INVOLVED IN ANY LAWSUITS?

NOTES:

I AUTHORIZE SP REALTY TO VERIFY MY CREDIT AND EMPLOYMENT HISTORY

All information you provide on this form will remain confidential