Adamantine Investments LLC
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Buyers Questionnaire
Buyers Questionnaire
COMPANY INFORMATION
Owner(s) Name
First
Last
Company Name
Mailing Address
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
*
Office Phone
Mobile Phone
Fax Number
Website
How Did You Hear About Adamantine Investments LLC ?
Please Select An Option
Postcard
Letter
Newspaper Ad
Eletter
Online Ad
Real Estate Agent
Attorney
Event
CPA or Accountant
Google Search
Yahoo Search
Bing Search
Other
Which Event?
INVESTMENT INFORMATION
Have you previously purchased distressed notes:
Yes
No
How long have you been buying notes:
1-12 Months
2-3 Years
4+ Years
When was your last note purchase?
What type of notes are you interested in:
Non-Performing (NPN)
Performing (PN)
Both
How many notes have you purchased:
1-3
4-10
10+
Current Capital Available to deploy:
(under $50k)
($50-$100k)
($100k-$150k)
($150k-$200k)
($200k+)
How often are you looking to close on note deals:
(Weekly)
(Monthly)
(Quarterly)
(Other)
List States you are interested in (if all please put “All States”):
Are you interested in Join Venture note deals?
Yes
No
Are you interested in purchasing investment property?
Yes
No
What type of properties are you interested in?
Single Family
Multi-Family
Both
Which states are you interested in?
What is your price range for investment property?
Please select an option
(under$50k)
($50-$100k)
($100k-$175k)
($175k-$250k)
($250k-500k)
($500k-$1mil)
($1mil+)
How much capital do you have available to invest in real estate property ownership?
Please select an option
(under$50k)
($50-$100k)
($100k-$150k)
($150k-$200k)
(200k +)
Are you pre-qualified for an investor loan on real estate property?
Yes
No
If yes, how much are you qualified for?
Please select an option
(under$50k)
($50-$100k)
($100k-$175k)
($175k-$250k)
($250k-$500k)
($500k-$1mil)
($1mil +)
Are you interested in Join Venture deals in investment property?
Yes
No
COMPANY HISTORY INFORMATION
Has any domestic or foreign court ever found you or the company in violation of any financial service related statute(s) or regulation(s)?
Yes
No
Has any U.S. State or Federal regulatory agency or foreign financial regulatory authority suspended, revoked, denied, restricted or disciplined you or any of the Legal Owner slicensesability to engage in any aspect of the financial industry?
Yes
No
Are you, any legal owners, or any one employed now the subject of any regulatory proceeding described above to the best of your knowledge?
Yes
No
Have you ever been convicted of or pled guilty or nolocontendere ("nocontest") in a domestic, foreign, or military court to committing or conspiring to commit a misdemeanor involving: (i) financial services or a financial services-related business,(ii)fraud, (iii) falsestatementsoromissions,(iv)theftor wrongful takingofproperty, (v)bribery, (vi) perjury, (vii)forgery, (viii) counterfeiting, or(ix)extortion?
Yes
No
Has the company or any of the Legal Owner(s)or Officer(s)ever been convicted of or pled guilty or no contest to a felony?
Yes
No
Has the company or any of the Legal Owner(s)or Officer(s) ever been convicted of or pled guilty or no contest to a misdemeanor involving fraud, deceit or misrepresentation?
Yes
No
If you answered YES to any questions above, please explain:
I hereby declare under the penalty of perjury under the laws of the State of Wyoming that all the information provided here in is true to best of my knowledge and I am authorized to sign on behalf of the company I am representing as a duly appointed Officer or authorized representative.
Print Name
We invite you to contact us!
Please feel free to call our office at (307)392-4147 to receive your
free note analysis
.
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