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Name

Email address

Mobile Phone Number

Subject Property Address

Google Link (If available)

Number of Units

Number of Occupied Units

Owner Occupied? Owner Occupied? Yes No

Property Type Property Type 1-4 SFR 5+ Multi/Mixed Use Commercial

Purchase Price

PITI (Principle, Insurance, Taxes, HOA Dues)

Purchase Closing Date

Current Value (Refinance)

Amount Owed (Refinance)

Acquisition Date Price (Refinance)

Total Rehab Cost (Fix & Flip)

After Repair Value (Fix Flip)

Fico Score (Equifax)

Fico Score (Transunion)

Fico Score (Experian)

Number of Flips in last 24/mos (Experience)

Number of Rentals Owned

Primary Residence (Check One) Primary Residence (Check One) Owned Rented