Although the area has medical and high tech jobs, along with many colleges, the job market isn't that good and Monroe County is losing population.

I feel that using thw 2 types of income together I can continue to grow both and have them work together synergetically.While the thought of going full blown RE investor seems alluring and sounds great I think at this point I would be cutting off my nose to spite my face as I have great medical benefits, great 401k with company match as well as other Corp. benefits that I am not ready to give up yet.As an example: by maxing out my company 401k , this year (I believe the max is 17,500) which I am able to do, due to my supplemental RE income) I am able to reduce my taxable income by that much allowing me to be able to claim more passive losses on my Real estate income.

This will minimize your issues.While we have done just about every type of investment real estate there is known to man for almost 15 year including apartments, student housing, retail, medical office, etc.. in my opinion single family homes in selected markets for buy and hold 3 to 5 years is a good safe bet.

My first and biggest complaint was the trainer, he was a terrible speaker.My girlfriend is a professional speaker/educator for a medical device company and I am a semi-professional magician/comedian, so I know a thing or two about public speaking.He was late both starting and finishing every day; he was also late for every single break and lunch.And although our trainer was passionate about the material, he was not supportive and had absolutely no apathy for his audience.The concepts they were teaching, often times go against deeply ingrained ideas some of us have held for 25+ years or more and would stir up deep emotions.Whenever a question was asked for more information, he would yell “you don’t need to know the details!”.

Give one holder the POA to administer the note with a named trustee under the security agreement.These features can help those heirs in the event they die or become incapacitated, as their share becomes part of their estate, Another point is that if they ever require medical benefits and must qualify for assistance, one holder won't be tagged with the entire balance owing, as they may be and can fail to qualify until that asset is "spent down" for the applicants benefit.The restriction to the sale of the note makes it rather unmarketable, if any assistance program or other action requires the note to be valued at it's market value, the resulting value may not exist or must be evaluated significantly lower.

Next one is on Dec 12, 2014@vlad kuzin Wouldn’t the tax sale override the medical lien? 

Here in Houston the economy has been on fire for several years, driven by the energy industry and, to a lesser extent, medical.

NO OFFENSE TO THE PROFESSION OR NEED, BUT IT IS MEDICAL SLAVE LABOR IN MANY REGARDS.

We have a tenant who occasionally falls behind by a few weeks because of ongoing medical issues with her son, but we know she's good for it and eventually catches up.

You should be buying houses with your W2 and eventually, medical office, and commercial.