LISTING SUBMISSION

(Page under construction - form below will be changed)

If you have a lead on a property with an owner interested in doing a lease with purchase option, master lease with subletting rights, or is willing to sell via owner financing (contract for deed or installment option sale), please fill out and submit the form below. A DR Investment Properties representative will then contact you regarding your submission(s).

PROPERTY INFORMATION

* = required information

* Property Street Address :

* City :

State : CT (property must be in CT)

* Zip Code :

* County :

* Property Type :

* No. of Bedrooms : (or no. of units if multi-family)

* Is property occupied ?

Yes No Unknown

If multi-family , how many units are occupied (if any) :

Asking rent (if any) : $

Asking price (if any) : $

Comments or Additional Property Info :

OWNER INFORMATION

(Must include Phone Number and/or E-mail Address)

* Owner Name(s) :

* Phone Number : (if unknown, fill in 000-000-0000)

* E-mail Address : (if unknown, fill in unk@unk.unk)

Comments or Additional Owner Info :

PROPERTY SCOUT INFORMATION

* Lead Submitted By :

Phone Number :

* E-mail Address :

Questions, Comments or Additional Info :