Passive Investment Pledge Form

Choice Homes Realty, Inc.
Fax to: 219-979-4610 or reosoldnow@yahoo.com
1201 Central Ave. Lake Station,  IN  46405

NAME: Date:                                            

Address: City:      

State: Zip: Day Phone:

Night Phone: Cell Phone:

Fax: eMail:

YES! I would like to get started as soon as possible. Please call me when you get a loan to place.

YES! I’m very interested but I have some questions I’d like to discuss one-on-one.

NO! I’m just not ready to be a private lender at this time.

I have some friends I believe would like to learn about private lending.

You May       You May not use my name when contacting them.

Name:     Phone:

Name:     Phone:

I have available for lending at this time.

$5,000 - $25,000 $25,000 - $50,000 $50,000 - $75,000

$75,000 - $100,000 $100,000 – Plus

My funds are in an IRA CD 401K checking or Savings Other

Comments: