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1 .
First Name *
2 .
Last Name *
3 .
Email Address *
4 .
Telephone Number
5 .
Are you personally receiving payments on this note? *
Yes No
6 .
What was the date of purchase? *
7 .
What was the purchase price (in $)? *
8 .
What was the down payment amount (in dollars)? *
9 .
What was the original face value of the note? *
10 .
What was the original term of the note? Please indicate months or years *
11 .
What is the interest rate on the note (in percentage)? *
12 .
Is the note paid: *
Monthly Quarterly Semi-annually Annually Other
13 .
What is the payment amount (in $)? *
14 .
When was the first payment made on your note? *
15 .
How many payments have been made? *
16 .
How many payments remain? *
17 .
When is the next payment due? *
18 .
Is the note: *
Current Delinquent
19 .
Have all the payments been made on time? If no, please indicate how many late payments and how many days overdue. *
20 .
What is the remaining note balance? *
21 .
Is note in first position (i.e. a senior lien)? *
Yes No
22 .
If note is not senior, please indicate terms of senior notes. Include original face value, interest rate, length, monthly payment, balloons, and balance.
23 .
What type of security instrument is present with this note? (required) *
24 .
What type of boat secures this note? (required) *
25 .
Describe the condition of this boat. (required) *
26 .
In what year was this boat manufactured? (required) *
27 .
What is the market value of this boat? Can this be documented? (required) *
28 .
What marina houses this boat? (required) *
29 .
What city/state is the boat located in? (required) *
30 .
What is the payor's credit rating? (required) *
31 .
Is the following documentation available: (required) *
Security agreement Title Sales contract Payor credit report Buyer/seller agreement Bill of Sale Insurance
32 .
Please tell us about your needs and expectations so that we may better serve you. *
33 .
How many payments would you like to sell? *
34 .
How much money would you like to get by selling these payments? *
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