LICENSE VERIFICATION
Are you a Licensed Real Estate Agent? Yes No If yes, what State(s) / Country are you licensed in?

VERIFICATION OF YOUR ROLE - CHOOSE ONE

1. Principal Buyer - Non Participating   You are the true principal buyer. You are not restricted to working with only one agent who exclusively represents you on the purchase of your properties. If you are a licensed real estate agent, you agree to act strictly as a Principal Buyer purchasing for your own (or entity's) account with no requirement of participating in the sharing of real estate commissions in the purchase of your properties." 2. Principal Buyer - Participating You are the true buyer. As a licensee, you feel compelled to make it a requirement that you must participate in commissions on the purchase of your properties. 3.   Buyer's Agent You are a licensed real estate agent who has full control & direct contact with the principal buyer.      Please click here and use this form. 4. Employee of the Principal Buyer (Paid by Buyer) 5. Consultant or Finder for the Principal Buyer 6. Other (Please explain)

CONTACT INFORMATION

Your Valid Email Address (Required) Name & Title Company Mailing Address City City  State, Zip Code State   Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Puerto Rico Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington (state) Washington D.C. West Virginia Wisconsin Wyoming      Zip  Office Phone  Ext. Cellular / Mobile Phone Pager Number Home Phone Fax Number Your Home Page (if any)

1031 EXCHANGE QUESTIONS
Are you in an Active 1031 Exchange? Yes No Status of your Current Property On Market (or soon to be) Accepted Contract / In Escrow / Sale Pending Closed Escrow (Sold) Closing Date / Date of Sale Sales Price Total all of Loans at Closing Your Title & Escrow Companies Your 1031 Accommodator

DESIRED LOCATION

What are your top 3 choices for Location? 1. State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Puerto Rico Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington (state) Washington D.C. West Virginia Wisconsin Wyoming    State Region -Any part of the State- Central Northern Northwestern Northeastern Northcentral Southern Southwestern Southeastern Southcentral Eastern Eastcentral Western Westcentral    City      County   2. State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Puerto Rico Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington (state) Washington D.C. West Virginia Wisconsin Wyoming    State Region -Any part of the State- Central Northern Northwestern Northeastern Northcentral Southern Southwestern Southeastern Southcentral Eastern Eastcentral Western Westcentral    City      County   3. State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Puerto Rico Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington (state) Washington D.C. West Virginia Wisconsin Wyoming    State Region -Any part of the State- Central Northern Northwestern Northeastern Northcentral Southern Southwestern Southeastern Southcentral Eastern Eastcentral Western Westcentral    City      County   Will you consider properties in all states ( Nationwide )?    Yes No

YOUR ACQUISITION CRITERIA

Price Range Between   and   # of Properties Wanted  One Property  or...            &nb sp;    Between   and   Properties Total Equity (Cash) What is the amount of equity you have (or being sheltered)?   Desired LTV Your new loan should be a minimum of   but not exceed  of the purchase price Desired CAP Between   and   Desired Cash on Cash Between   and   Readiness When will you be ready to write offers?

DESIRED TENANT

Which single tenant industry is of highest interest to you?  Drug  Retail  Restaurant  Medical  Grocery  Convenience Store  Bank  Office  Industrial  Automotive  Government  Zero-Flow Which of the following tenants are of immediate interest? TENANT IN COMMON  Tenant In Common (TIC) / Fractional Ownership  More AUTOMOTIVE RELATED  Advance Auto  American LubeFast  Auto Zone  Big O Tires (TBCC)  Brake Masters  Car-X Stores Muffler Shops  Chief Auto Parts  CSK Auto  Don Olson  Firestone  Goodyear (GT)  Jiffy Lube  Tire Kingdom  Tires Plus DRUG STORES  CVS (CVS)  Eckerds (JCP)  Longs  Oshman's  Rite Aid (RAD)  Walgreens (WAG) GROCERY STORES  Basha's  Bi Lo  Brookshire Brothers  Fleming  Food 4 Less  Food Lion  Hy-Vee  Kroger  Publix (PUSH)  Ralley's  Ralph's  Safeway  Save Rite  Smith's  Wild Oats  Winn-Dixie (WIN) MISCELLANEOUS  Fed-Ex (FDX)  AMC Theatres  Childrens World  Kindercare  Post Office (USPS)  Social Security Admin.)  Tutor Time RESTAURANT  Applebee's  Arby's  Baskin Robbins  Bennigan's  Black Angus  Bojangles  Brueggers Bagels  Burger King  Captain D's  Caribou Coffee  Carl's Jr.  Casa Ole  Checkers Restaurant  Cheddars  Chili's  Chipotle  Del Taco  Dennys  Dunkin Donuts  Dunkin' Donuts, Baskin Robbins & Togos  El Chico  El Pollo Loco  Fuddruckers  Golden Corra  Grandys (ground leased fee)  Hardee's  Hooters  Hops Grill & Bar  IHOP  Huddlehouse  Jack In The Box (JBX)  John Harvard's Brewhouse  Johnny Carino's  KFC  Krispy Kreme  Logan's Roadhouse  Macaroni  Max & Erma's Italian Restaurant  McDonald's (MCD)  Memphis B-B-Q  Moe's Southwest Grill)  Noodles Company  O'Charley's  Panera Bread  Perkins  Pizza Hut  Rally's Hamburger  Roadhouse Grill  Steak N Ale  Schlotzsky's  Shoney's  Sonic Drive-In  Stanford's  Starbucks  Steak & Ale  Ruby Tuesday  Subway  Taco Bell  TGI Friday's  Togos  Tony Roma's  Tumbleweed  Wendy's RETAIL  7-Eleven (SVEV)  Academy Sports  Amscott Financial  Bank of America  Barnes & Noble (BKS)  Best Buy (BBY)  Big 5  Big Lots  Blockbuster Video  Border Books  Cash America  Champps  Circle K  Circuit City (CC)  Claim Jumper"  Costco (PCCW)  Dollar General  Dollar Tree  EZCORP  Family Christian  Family Dollar  Footstar (Just For Feet)  Garden Ridge  Gart Sports  Gateway  Hollywood Video  Home Depot  Huddle House  Interstate Bakeries  Jared Jewlers  Kinkos  Kmart (KM)  Kohls Department Store)  Lowe's (LOW)  Mattress Giant  Movie Gallery  Office Depot (ODP)  OfficeMax (OMX)  Old Navy  Panera Bread  Payless ShoeSource  Petco  Petsmart (PETM)  Pier 1 Imports (PIR)  PriceCostco (PCCW)  Radio Shack  Sam's Wholesale Club  Shirwin Williams (SHW)  Sports Authority  Staples (SPLS)  Target  The Mattress Firm  TJ Maxx  Toys R Us  Tractor Supply  Tweeter  Visionworks  Walmart (WMT)

IN YOUR OWN WORDS
Describe what you think would be your ideal property.