Purchaser Qualification Form

PROPERTY NEEDING OUR HELP

Purchaser Qualification Form

Purchaser Qualification Form
Are you applying as a
Address
Address
City
State/Province
Zip/Postal
If Non-Profit Organization, does the organization hold a 501(c)(3) tax exempt status?

List all properties currently owned in Sandusky County.

Has the individual, business or organization owned property that has been foreclosed upon for delinquent taxes?
Has the individual, business or organization owned property that has been the subject of a mortgage foreclosure?
What types of property are you or business/organization interested in acquiring from the Land Bank? Please mark any applicable property type.

I affirm that all information provided above is accurate. I understand that all information is subject to verification and that any information found to be false will result in the disqualification of this organization to acquire Land Bank property during the next 12 months.
Sandusky County Land Reutilization Corp