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EMD Request Form

Full Name *

Phone *

Email *

Business Name

Deal Details

Address

Street Address

City

State

Country

Postal code

Amount Needed *

$

Inspection Period Expiry Date *

Closing Date *

How many deals have you done? *

What is your exit strategy? *

Title Company/ Closing Attorney

Escrow officer email *

Escrow officer phone number *

Purchase and Sale Agreement *

Purchase and Sale Agreement

Wire Instructions *

Wire Instructions

Add any supporting documents here

Addendums *

Addendums

Please give your final notes/ summary of the deal taking place:

All applications may take 5-7 business days to process. Thank you for your patience!

I agree to the terms & conditions provided by the company.

By submitting this application, I acknowledge that HP88 Wealthy Pine Capital LLC is facilitating introductions to potential lenders and is not responsible for loan approval or terms. I agree to pay a connection fee upon loan closing, which is due at the time of funding and non-circumventable. If I secure funding through a lender introduced by Wealthy Pine Capital LLC, the fee remains due. I understand that this fee is separate from any lender fees.

I agree to the Connector Fee Agreement

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Contact Us

[email protected]

725-331-8807

5830 E 2nd St, Ste 7000, Casper, Wyoming 82609

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