STATE OF NEW JERSEY
DEPARTMENT OF THE TREASURY
DIVISION OF PROPERTY MANGEMENT AND CONSTRUCTION
INVESTOR PROFILE
Please complete the information requested below and return this form to:
State of New Jersey, Department of the Treasury
Division of Property Management & Construction
Office of Real Property Management
28 West State Street, 4th floor
P O Box 229, Trenton, New Jersey 08625-0229
(Or, you may fax this form to (609) 292-2828.)
Available properties’ information may be viewed at the following website:
https://treasuryapps.state.nj.us/Treas_auction/xcAuction.asp
If you have any questions, please contact the Office of Real Property Management at
(609) 292-9694.
Name of Organization/Individual: __________________________________________
Organization Type: ______________________________________________________
Charter Type: ________ Corporation
________ Partnership
________ Sole Partnership
________ Individual
Contact Person: <select> ______________________ ______ ____________________
Mr/Mrs/Ms
(First Name)
(Middle)
(Last Name)
Title: __________________________________________________________________
Department: ____________________________________________________________
Address: _______________________________________________________________
(Street or Apartment Number/Post Office Box)
_______________________________________________________________
(Town/City)
(State)
(Zip Code)
Phone: _________________________________________________________________
(Business # include area code)
(Home # include area code)
Fax: _________________ E-Mail Address: ____________________________________
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REAL ESTATE ASSETS
COMMERCIAL:
_____ Office Building:
_____ Less than 50,000 sq. ft.
_____ 100,000 to 200,000 sq. ft.
_____ 50,000 to 100,000 sq. ft.
_____ Greater than 200,000 sq. ft.
_____ Industrial/Warehouse:
_____ Less than 50,000 sq. ft.
_____ 100,000 to 200,000 sq. ft.
_____ 50,000 to 100,000 sq. ft.
_____ Greater than 200,000 sq. ft.
_____ Medical Facility/Private Hospital:
_____ Less than 50,000 sq. ft.
_____ 100,000 to 300,000 sq. ft.
_____ 50,000 to 100,000 sq. ft.
_____ Greater than 300,000 sq. ft.
_____ Nursing Home/Retirement Home:
_____ Less than 50,000 sq. ft.
_____ 100,000 to 300,000 sq. ft.
_____ 50,000 to 100,000 sq. ft.
_____ Greater than 300,000 sq. ft.
_____ Marina/Boat Yard
_____ School
_____ Parking Garage/Lot
_____ Other
_____ Multi-Family:
_____ 5 to 20 units
_____ 40 to 80 units
_____ 20 to 40 units
_____ Greater than 80 units
_____ Single Family
_____ Land
_____ Unimproved Commercial/Residential:
_____ 50 to 20 acres
_____ 21 to 50 acres
_____ 51 to 100 acres
_____ Greater than 100 acres
_____ Agricultural Ranch/Pasture:
_____ 20 to 50 acres
_____ 76 to 100 acres
_____ 51 to 75 acres
_____ Greater than 100 acres
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GEOGRAPHIC LOCATION
_____ Entire State:
_____ Northern New Jersey:
_____ Bergen
_____ Passaic
_____ Essex
_____ Sussex
_____ Hudson
_____ Union
_____ Morris
_____ Warren
_____ Mercer
_____ Somerset
_____ Middlesex
_____ Monmouth
_____ Burlington
_____ Gloucester
_____ Camden
_____ Salem
_____ Cape May
_____ Central New Jersey:
_____ Hunterdon
_____ Ocean
_____ Southern New Jersey:
_____ Atlantic
_____ Cumberland
If you are a broker, are you willing to act as a principal?
_____ Yes
_____ No
_____ N/A
Where did you hear about us? _______________________________________________
PRIVACY ACT STATEMENT
The primary use of the information required above is to match qualified prospective
investors with specific assets for sale. Furnishing the information is voluntary; failure to
furnish all or part of the information may result in the prospective investor not receiving
notice of the availability of an asset offering. The information provided may be disclosed to
other State or Federal agencies for law enforcement purposes concerning persons involved
in the conduct of judicial or administrative proceedings; for tax administrative purposes; and
to a congressional or legislative office in response to an inquiry made at the individual’s
request. The information is collected pursuant to 5 U.S.C., 522a, 42 U.S.C., 405, and
P. L. 1995, c. 158.
Page 3 of 3