Adjust your criteria to something a little less main stream/common.

The important thing is that you evaluate your goals for what you want your real estate to do for you, and then adjust your criteria and approach to align with those goals.

I would only refi when the rate differential made sense, to avoid an unfavorable rate adjustment, or to remove PMI (like with a FHA loan).

In a slower market (or a downturn in my own market), this strategy might need to be adjusted to allow more time for filling vacancies. 

Invested mainly in Israel (where I live) and a few years ago, started investing in the US in the DFW area.Investing now both in rentals and flips and trying to apply what I knew from the previous experience to the ecosystem in the US with the relevant adjustments (you'll be surprised how many similar elements exist :) )Now expanding in the US to the Augusta, GA with the same mode of operations - finding below market properties, deciding on the best strategy for each one, buying alone or with partners.A pleasure to be here and learn so much from this great place.

We have comps and really felt comfortable with the price but needed to adjust.

US citizens are taxed on their worldwide income.If the DR also taxes the gain, you generally would be able to use foreign tax credits against your US liability.You also need to examine the difference between net sales proceeds and your adjusted cost basis. 

Otherwise,  medical premiums and expenses paid out of pocket could be deductible if itemizing deductions and expenses are greater than 10% of adjusted gross income in 2019. 

Also, you pay that annually and lead building products have been illegal since 1978, so, theoretically your property has  generated $642 x 40 years of tax revenue, that's closer to $26,000, of course this should be inflation adjusted, but the point is still the same.

Favorable, forward-thinking business climate for employers?