He was having medical problems and wanted to sell and relocate to a house with one level.

I work in the medical center and this is so close to it so I know eventually this area will pick up but it will take many years. thanks for the advice!

I spent much of my early years as an Emergency Medical Technician and in the US Air Force.

That happens when the option is exercised. 

Also negotiating with the owner a lease option so I don't have to come up with a huge down payment and I could choose to exercise the option in a few years or so. 

Of course medical can be a big one or loss of job..

and then see what kind of property taxes the cities and states had.From the lists on the image attached, then I'd narrow it down to areas less prone to natural disasters.This was a small exercise I did, and I am sure people will agree and disagree with many of the places but hopefully, it's a starting point for a debate and we get more experienced investors to give us their two cents.

If you change the name, you risk having the Due on Sale clause exercised. 

You are paying for the right to buy the property sometime in the future and you may or may not exercise that right.

It's possible the person has a medical condition.