Community Description Form

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Please answer all of the following questions to the best of your ability. This will ensure we have all the correct information to create the most accurate marketing materials. (If this is a portfolio sale, please fill out this form for each location)

ABOUT THE COMMUNITY

Facility Name *

Facility Address *

Desired List Price (if market determined price please note) *

Facility Type *

Assisted Living

Memory Care

Independent Living

Adult Foster Care

Skilled Nursing

Other:

Required

Year Built *

Year Renovated

If renovated, what renovations were completed?

# of Units *

# of Beds *

# of Baths (Please note if full & half baths. If both, please indicate the ratio) *

Can you provide a floor plan? *

Yes

Current Occupancy (please indicate if occupancy is calculated from # of beds, or # of units) *

Pay Type *

Private pay

Public pay

Mix of both

If a mix of pay type, what is the ratio?

Rental Rates (Studio, 1 bedroom, 2 bedroom, ect.) *

Sewer

Septic

City

Clear selection

Water

Well

City

Clear selection

Building Space (square footage)

Land Area (acreage)

Financially, is the profit/loss of your facility stabilized and cash flowing, or distressed and value-add?

Stabilized and cash flowing

Distressed and value-add

Vacant or new-build

Other:

Clear selection

Who is the operator? (If owner-operated, please note) *

Would you like MCRE to have professional photos taken? (If you have photos, please send to info@meisercre.com. If photos are on the website, please select that option) *

Yes, I need professional photos taken.

I have photos and will send to info@meisercre.com.

Photos are on the website.

QUESTIONS ABOUT THE OWNER

Owner Full Name, Phone Number, Email *

LLC Name (OpCo & PropCo) *

Owner Address for Documents *

Reason for Selling *

Is seller financing available? (If yes, please state a note amount you are willing to carry) *

Any debt on the facility? (If yes, how much and is it assumable?) *

Any minority partners? *

Yes

Any ancillary businesses? (If yes, please describe: Example: Home Healthcare, Hospice, Pharmacy, ect.) *

Can you provide financials? (last 3 years of P&Ls, two most current month's rent roll and 3 years census history - in excel if possible)

If you cannot provide, who do we contact for financials? (Please provide their full name, phone number, and email, and indicate their relation to you. Example: CPA, manager, etc.)

Please provide any additional remarks, highlights and/or selling points about the facility for marketing materials.

Thank you for completing our form. Please send all files and documents to info@meisercre.com.

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