Cash Account Application

& Account Agreement

*Name of Property:

*Address:

*City:

*State:

*Zip:

*Phone:

Fax:

*# of Units:

* P.O Required? Yes No

*Tax Exempt Yes No

(If Yes, Include Tax Exempt Form)

Website:

People who are Authorized to Purchase

*Name:

*Cell:

*Email:

Role:

Add Another Person

Management Company

*Name:

*Address:

*City:

*State:

*Zip:

*Phone:

Fax:

*Email:

*Owner or President :

*Year in Business: