A brief message from Michael Warren
Co-Founder of Land Elevated.

Next, we need you to complete and sign your Land Contract. Fill out the information below and your Land Contract will be generated and sent to you.

Primary Buyer Information (required)
Buyer Count*
Select how many buyer information you want to include in the contract.
Name*
First Last
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Social Security #*
Date of Birth*
MM slash DD slash YYYY
Email Address*
Primary Telephone Number*
Credit Card / Debit Card Information (required)
Name on Card*
Card Number*
CVC Code*
Expiration Date: 12/18*
SurePay:
I want to sign up for SurePay note payment coverage for $9.99 per month which will be added to my currently monthly payment. My bank or credit card will be charged $9.99 per month for the term of the land contract.
SurePay*
- Yes
- No Thanks
Click Here to Download SurePay
Consent*
If you are a Terms Buyer, you hereby agree to the following terms and conditions:*
If you are participating as a Buyer, you are required to complete this written ACH authorization. The original is retained by VR Holdings, LLC and/or its Affiliates and may be uploaded to your client contract file. Periodically, Federal and State Bank Regulators and Fraud Investigators ask for Client authorizations; if they do this authorization will be provided.

As the Buyer, you authorize regularly scheduled payments from your checking account, savings account, or debit/credit card. You will be charged at each billing cycle the total amount then due. A notification of payment will be emailed to you and shown on your statement.

I, as the buyer, authorize VR Holdings, LLC and/or its Affiliates (“VR Holdings”) to set up my promissory note using an online software application selected by VR Holdings.

I am authorizing VR Holdings to make withdrawals from one or several designated checking/savings account(s) or my debit/credit card that I have provided to VR Holdings.

I understand that my account(s) may be drafted automatically. I agree to have sufficient funds in my account and will pay all fees if my payment is dishonored by my bank or credit union for any reason.

I as the buyer authorize VR Holdings, LLC and/or its Affiliates to initiate instructions for funds to be charged/debited from my checking account, savings account, or debit/credit card on the same day each month based on the day your down payment was made for payment of all obligations under my promissory note . I understand that a charge from the Beneficiary may appear on the account noted above and that I have access to my payment records. I understand that VR Holdings is using automated accounting and payments.

I have verified with my Financial Institution that the account indicated below can receive an ACH Debit item. Furthermore, I assert that I am the owner or an authorized signer of this bank account.

This authority is to remain in full force and effect until VR Holdings has received notification from me of its termination in such time and in such manner as to afford VR Holdings and the Financial Institution a reasonable opportunity to act upon it.

I understand that I have complete access to my Land Contract and payment records and I will receive e-mail alerts to the e-mail account associated with my note.

I agree to notify VR Holdings in writing of any changes in my account information or termination of this authorization 15 days prior to the next due date of the charges.

I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law.

I understand that if there is not money in my account that I may be charged added fees by my bank and by VR Holdings. I will not dispute the VR Holdings recurring billing with my bank; so long as the transaction corresponds to the terms indicated in this agreement or as modified by the parties.

If my ACH transaction does not go through, or if ACH / Bank Account information is not entered above, I authorize VR Holdings to charge my credit or debit card for the monthly amount.
By submitting your Digital Signature below, you are agreeing to purchase the property described herein from Land Elevated, according to the terms, conditions and payment terms described herein. Once submitted, Land Elevated will review the information, and assuming all required information has been provided, Land Elevated will deliver (by U.S. Mail or email) a fully signed Land Contract.
Signature*
Buyer 2 Information (required)
Name*
First Last
Email*
Phone*
Signature*
Buyer 3 Information (required)
Name*
First Last
Email*
Phone*
Signature*
Buyer 4 Information (required)
Name*
First Last
Email*
Phone*
Signature*
Name
This field is for validation purposes and should be left unchanged.

A brief message from Michael Warren Co-Founder of Land Elevated.

Primary Buyer Information (required)

Credit Card / Debit Card Information (required)

SurePay:

Buyer 2 Information (required)

Buyer 3 Information (required)

Buyer 4 Information (required)

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A brief message from Michael Warren
Co-Founder of Land Elevated.