LENDER INFORMATION FORM Name   Address   City   State   Zip Code   Phone   Fax   Email *     Would you be interested in making loans on real estate for a safe return on your investment?  Yes    No     Have you loaned on real estate before?  Yes    No       How much are you looking to invest?  $5,000 - $25,000  $25,000 - $50,000  $50,000 - $75,000  $75,000 - $100,000  $100,000 - Plus     What is the best time to reach you?    *Required Field       Please Click Only Once.