I wanted to refinance that one to pull out the equity to combine with the St Louis house's equity as the down payment on the duplex.

I specialize in small Multifamily in the county the OP asked about and the next county over, I sell more than the #2-6 agents combined in that particular category.  

I use 8% in my underwriting, though, this is very localized.I think you need to expect at least 15% combined for repairs and CapEx.

This cash flow from all my rentals combined doesn’t count for cap ex or vacancies.

My personal opinion is that, typically but not always, a combination CPA/Attorney who understands tax liability reduction, asset protection and inheritance planning is golden.

I think you can pull your repairs and CapEx down to 15% combined.

I use 15% combined in my underwriting.You're missing management (10-12%).

The tax benefits, appreciation, and cash flow over the next 30 years will make you more than all your flips combined if you do it right.

They used a combination of sod, rocks, and mulch.

I checked around and I would qualify for another physician loan as long as I am living in it.Just some other info, my wife and I make a combined 500K (I work full time she works part time) but also have about 500k (interest rate 3.5%) combined in student loansIs it a terrible idea to purchase another home using a physician loan?