Property Information Sheet

Submitted by __________________________________________________________

Date: ____________________________________

Phone: _________________________________

Address: _______________________________________________________________________________

Area: ____________________________________

House Address: _______________________________________________________________________________

Owner's name: ________________________________________________________________________________

Owner's Address: _____________________________________________________________________________

Owner's Phone: ____________________________________

Asking Price: _______________________________________________________________________________

Terms: _______________________________________________________________________________

The house is: ____Vacant? _____For Sale By Owner____Has Code Violation Sticker

Picture number ___________

Fax to 888-707-2611 or mail to
Diverse Capital, Inc.
PO Box 434
Cottage Grove Minnesota 55016