PERSONAL INFORMATION

Address: *

STATISTICAL DATA

Current Annual Income range: *    $0 - $25,000            $25,001 - $50,000            $50,001 - $75,000            $75,001 - $100,000            $100,001 - $150,000
   $150,001 - $200,000            $200,001 - $250,000            $250,001+

Investment Objectives: *    Acquisition and disposition of Real Estate            Investment of Money for Growth or Tax benefits
1st Investment Goal: $            2nd Investment Goal: $            3rd Investment Goal: $
4th Investment Goal: $            5th Investment Goal: $

Do you currently own any of the following? *    Individual retirement account            401K’s            Annuities            Stock trading account            Investment Real estate

Have you participated in a real estate investment group in the past? *    Yes      No

Have you bought or sold investment property in the past? *    Yes      No

Do you currently own real estate investment property? *    Yes      No

Are you familiar with real estate investment trust? *    Yes      No

Are you prepared financially to invest independently i.e. 30% down payment of your purchase? *    Yes      No

Are you willing and able to partner with others for REI acquisition? *    Yes      No

Have you ever filed bankruptcy? *    Yes      No

Have you ever been convicted of fraud or theft relative to financial transaction or similar crimes? *    Yes      No

How much money have you currently allocated or set aside if any for real estate investing? $ *

REI RESOURCES TOOLS View Information

Membership participation fee for access: *    None            Basic: $997            Premium: $2,097