ACQUISITION OF A MINE
Enter all amounts in $ USD.

This form is for the purchase or acquisition of any Existing, Operating Mine.

ALL QUESTIONS MUST BE ANSWERED
Submissions that state “See Attached” or have missing information will be considered incomplete and applicant will be required to re-submit the form.
  • Enter all amounts in USD $ Only
  • Down Payment
  • Questions Pertaining to the Mine to be Acquired

  • City/Town
    State/Region
    Country
  • 30 days, etc.
  • furniture and telephone/computer equipment is not acceptable collateral
  • If no appraisal, leave blank
  • If no appraisal, leave blank
  • if not making money, enter 0
  • Optional File Upload

    ALL QUESTIONS MUST BE ANSWERED
    Submissions that state “See Attached” or have missing information will be considered incomplete and applicant will be required to re-submit the form.
  • Signature

  • Referral Information (if applicable)

  • Account Executive (if applicable)