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 Owner - Non Participating   You are the owner of record. You are not exclusively restricted to working with only one agent. If you are a licensed real estate agent, you are able to pay a earned commission as strictly a Principal Seller - with no requirement of participating in commissions. 2. Principal Owner - Participating You are the owner of record. As a licensee, you feel compelled to make it a requirement that you must participate in commissions. 3. Listing Agent or Licensed Owner's Representative You have completely read and fully understand The Way We Work . Therefore, you understand that we must be under written agreement with a brokerage firm prior to the presentation of their properties to our buyers and that this agreement is not a listing broker's commonly used "buyer registration agreement". Further, you are a licensed real estate agent who has full control & direct personal contact with your seller. 4. Other (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)

SINGLE TENANT PROPERTY YOU ARE SELLING

Tenant Name           Industry Type  Retail Drug Store Grocery Restaurant Convenience Store Office Automotive Government Industrial Bank Medical Zero-Flow Other Tenant's Credit Rating S&P      Moody's      Private?  Yes No         Net Worth  Property Address City, County City             County   State 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               Part of the State Central Northern Northwestern Northeastern Northcentral Southern Southwestern Southeastern Southcentral Eastern Eastcentral Western Westcentral Zip Code Building Square Feet    Square Feet            Free-Standing?  Yes No Land Area Square Feet    Acres Lease Term The Primary Lease Term is for  Years Options There are  Option Periods.    Each Option Period is for  Years Lease Type NNN (Triple Net)      NN (Some Landlord Responsibilities) Increases Annual Rental Income Year     to Year      Year     to Year       Option Year     to Year       Option Year     to Year       Option Year     to Year       Option Year     to Year       Option Year     to Year       Option Year     to Year       Option Year     to Year       Option Price CAP Lease Guarantor (Signatory) Terms Cash at Closing      Must Assume Existing Financing New Loan Quote Seller has new loan quote. LTV, %, amortization & term is Rent Commencement Date Existing Financing Original Loan       Non-Recourse?  Non-Recourse Recourse Current Loan Balance    Interest Rate   Amortized Over    Years.       Term: Due in   Years Annual Debt Service Payment   Annual Cash Flow   Cash on Cash Return   Price to Buyer: Cash over Mortgage   Assumable? YES   NO   Assumption fee is   Yield Maintenance / Prepayment Penalty? YES   NO Prepayment Penalty fee  Remarks & Comments Commission Paid Seller is paying a brokerage commission of   of Sales Price