Name :
Address :
City :
State :
Zip Code :
Phone :
Fax :
Email :
Have you loaned on real estate before? :
Cash available to invest  :
Line of credit available to invest  :
Expected rate of return  :
I want to invest my money for a minumum of  :
I want to invest my money for a maximum of  :
My capital will come from  :
Are you presently holding mortgages you want to sell?  :
Balance of mortgage  :
Months remaining  :
Payment per month  :
Rate of return  :
Are you interested in making loans on real estate for a safe return on your money but have some questions? Should someone from my office call you?  :
The best time to reach you is :
 
Anti-Spam :