Private Investors Group

INVESTOR APPLICATION (Print & Fax Back to 1-888-467-2274)

INVESTOR APPLICATION FORM
(Confidential)

 

YOUR NAME:                        ___________________________________________________

Spouse Name:                        ___________________________________________________

Home Address:                        ___________________________________________________

Home Phone:                        ___________________________________________________

Home Fax:                        ___________________________________________________

Cell (You!):                        ___________________________________________________

Cell (Spouse):                        ___________________________________________________

E-Mail (You @ Home):                        __________________________________________

E-Mail (Spouse @ Home):                        __________________________________________

 

Co. Name (Yours):                        ________________________________________________

Company Address:                        ________________________________________________

Company Tel.:                        ___________________________________________________

Company Fax:                        ___________________________________________________

Company E-Mail:                        ___________________________________________________

 

Spouse’s Co. Name:                        ________________________________________________

Company Address:                        ________________________________________________

Company Tel.:                        ___________________________________________________

Company Fax:                        ___________________________________________________

Company E-Mail:                        ___________________________________________________

 

Types of Properties that you are interested in PURCHASING or LOANING against:

(Please circle all that apply)

 

All

Stick-built

Modular

Mobile

Commercial

Vacant Land

 

Range of Investment:

 

$0 to $50,000                          Type of Funds Available: _________________________________________

$0 to $100,000                        Type of Funds Available: _________________________________________

$0 to $250,000                        Type of Funds Available: _________________________________________

$0 to $500,000                        Type of Funds Available: _________________________________________

$0 to $________                    Type of Funds Available: _________________________________________

 

Areas of Interest:

 

All

Cities or Areas:                        ______________________________________________________________

Michigan

Other States:                        ______________________________________________________________

 

EXPERIENCE IN REAL ESTATE:                                (IMPORTANT!!)!!

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

 

Time Frame When Able to Invest:

 

______________________________________________________________________________

 

Please FAX this form and “proof of funds” (or credit line) to 1-888-467-2274 (Fax), Attn: Investor Relations Department.

 

We MUST have this completed form and proof of available funds before you may be considered for approval as a property investor.

 

                                © Copyright 2001 H.S.O.A.