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Senior Housing, Healthcare and Apartment Financing

Please take a moment to fill out the following basic form and submit to us. You're under no obligation and we promise to review your inquiry. Expect our call within two business days.

Contact Information:
First Name

 MI

 Last Name

Title

 Company

Address

Address (continued if needed)

City

 State
 Zip

Telephone

 Fascimile

E-Mail

Web Address


How Did You Hear About Us . . . (check all that apply)
Classified Ads
Conference
Directory Listing
Display Ads
Email Broadcast
Fax Broadcast
Hyperlink
Internet Newsgroup
 Magazine Article
Referral
Search Engine
State Associations
Website
Weekly Newsletter
Other/Unclassified

We Are . . . (check all that apply)
Accountant
Assisted Living/Retirement Housing Owner
Commercial Real Estate Developer
Financial Consultant
General Contractor/Builder
Healthcare Consultant
Healthcare Receivable/Equipment Lender
 Lawyer
Mortgage Banker Broker
Not-for-Profit
Nursing Home Operator
Real Estate Broker
Assisted Living
Unclassified

Information about the Property:
Property Name:

Address

City

 State
 Zip


Type of Property . . . (check all that apply)
Alzheimer's Facility
Assisted Living Facility
Congregate Care Facility
Nursing Home
Diagnostic Center
 Hospital
Psychiatric Hospital
Rehabilitation Center
Special Purpose Center
Commercial Real Estate
Apartment Building/Complex

Please provide any additional information:

Information About Your Financing Request:
Dollar Amout:


Type of Financing Requested:
Bridge Loan
Construction/Permanent Loan
Equity Participation
Expansion Loan
 Mezzanine Financing
Refinancing Permanent Loan
Sale/Leaseback
Acquisition Loan
Other


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