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Solaria
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First Name:
*
Last Name:
*
Address:
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City:
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State / Province:
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Would you like to also register for this auction?
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Will you be purchasing with a Spouse or Co-Buyer?
No Co-buyer
Spouse
Other Co-buyer
CO-PURCHASER/ SPOUSE:
(Note: If married, must be filled out)
First Name:
*
Last Name:
*
Address:
*
City:
*
State / Province:
*
-----Select State-----
Alabama
Alaska
Alberta
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland and Labrador
North Carolina
North Dakota
Northwest Territories
Nova Scotia
Nunavut
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Puerto Rico
Qu
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
Wyoming
Yukon
Zip / Postal Code:
*
Cell:
*
Work:
Email:
We plan to use Financing:
*
Arranged by the seller
Third party financing
All cash
Third party Lender Contact Information
Lender Name:
*
Lender Contact:
*
I am interested in the following properties in order of preference as below:
-----Select property -----
SR001
SR002
SR003
SR004
SR006
SR010
SR011
SR013
SR017
SR018
SR020
SR021
SR022
SR023
SR024
SR025
SR026
SR028
SR031
SR032
SR035
SR036
SR037
SR038
SR039
SR040
SR042
SR043
SR044
SR045
SR046
SR047
SR049
SR050
-----Select property -----
SR001
SR002
SR003
SR004
SR006
SR010
SR011
SR013
SR017
SR018
SR020
SR021
SR022
SR023
SR024
SR025
SR026
SR028
SR031
SR032
SR035
SR036
SR037
SR038
SR039
SR040
SR042
SR043
SR044
SR045
SR046
SR047
SR049
SR050
-----Select property -----
SR001
SR002
SR003
SR004
SR006
SR010
SR011
SR013
SR017
SR018
SR020
SR021
SR022
SR023
SR024
SR025
SR026
SR028
SR031
SR032
SR035
SR036
SR037
SR038
SR039
SR040
SR042
SR043
SR044
SR045
SR046
SR047
SR049
SR050
-----Select property -----
SR001
SR002
SR003
SR004
SR006
SR010
SR011
SR013
SR017
SR018
SR020
SR021
SR022
SR023
SR024
SR025
SR026
SR028
SR031
SR032
SR035
SR036
SR037
SR038
SR039
SR040
SR042
SR043
SR044
SR045
SR046
SR047
SR049
SR050
I WOULD LIKE TO BE PRE-QUALIFIED FOR THE AUCTION AT NO COST OR OBLIGATION.
Yes
No
SSN#
Spouse SSN#
Cobuyer SSN#
In order to expedite your pre-qualification please enter your social security number above. This information is transmitted using a secure SSL Encryption Protocol which provides secure communication on the internet.This information will always be kept in the strictest confidence and NEVER given to any third party. I/We give Impac Funding Corporation and Synergy permission to verify all credit references and pull my/our credit report(s). I/We further give permission to Impac Funding Corporation and Synergy and their affiliates to share and use information provided by me/us in connection with the financing and purchase of the property. Such information will not be disclosed to any other party except as required and permitted by law.
FINANCIAL INFORMATION
Employer:
Job Title:
Year At Job:
Combined Gross Annual Household Income:
----------- Select One -----------
$25,000 - $49,999
$50,000 - $74,999
$75,000 - $99,999
$100,000 - $124,999
$125,000 - $174,999
$175,000 - $200,000
$200,000+
By registering for this auction a bidder acknowledges having read and agreed to the Terms and Conditions in their entirety, as set forth in the auction brochure. A successful buyer will be required to acknowledge in writing that he/she/they have fully investigated and inspected the property, as well as having received and reviewed ALL disclosures relating to said property prior to bidding at the auction. I understand that this form does not constitute a loan application nor should it be construed as a commitment to make a loan.
First Name:
*
Last Name:
*
Date:
*
You must register to bid 24 hours prior to the auction.