There is an opportunity to acquire a medical building ( owner is MD who sold business to a Hugo MSO two years ago and still working part time ) at 8 cap NNN lease.

I don't mind letters, just leave my phone alone when I'm waiting for important medical phone calls. 

Here's a few things I would keep in mind- Travel medical professional demand and pay is down significantly in many markets.

There is also the local knowledge of a market like here in Lake Tahoe where lending can be trickier so an offer with a local lender might get chosen because they have a reputation to get a deal done vs a national lender that can have more red tape and a slower process. 

There is an opportunity to acquire a medical building ( owner is MD who sold business to a Hugo MSO two years ago and still working part time ) at 8 cap NNN lease.

My fiancé is applying to medical schools and would start school in the fall of 2025.

Marketing in Tough MarketsIn slower economies, aggressive marketing becomes more critical: Target Niche Markets: Focus on specific buyer types like investors, first-time buyers, or relocation buyers.

The conversion rate on direct mail is slow but when you are in a demanding market it's slower and the cash cycle could take over a year. 

It is a little harder and slower to start with no money but can definitely be done.

Here are the Positives:Upfront Payment: The tenant’s offer to pay the full year of rent upfront, along with the deposit, shows a commitment and provides financial security for you in the immediate future.At least She was Honest in Her Communication: The tenant has been transparent about her situation, which can be a positive sign of reliability and sincerity.My Negative Concerns:Her Future Financial Stability: It's only a one-year lease, if her medical condition and financial condition should worsen (Heaven forbid), you may have to face her wanting out of the lease earlier than the 12 months and eventually you may be faced with having to decide not to renew the lease (after her 1 year contract is expired) based upon the sad news of her condition becoming worse, (Heaven forbid).