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1 .
First Name *
2 .
Last Name *
3 .
Email Address *
4 .
Telephone Number
5 .
Mobile Home Information: Make of Mobile Home *
6 .
Mobile Home Information: Model of Mobile Home *
7 .
Mobile Home Information: Year of manufacture of mobile home (Not model year) *
8 .
VIN/Serial # of Mobile Home *
9 .
Dimensions of mobile home (--ft x --ft). These values should be floor size, not call size. *
10 .
Number of square feet in mobile home *
11 .
Number of bedrooms/number of bathrooms in mobile home *
12 .
What is the condition of the mobile home? (Excellent, good, average, needs minor repairs, needs major repairs) *
13 .
If mobile home needs repairs, please elaborate as to type of repairs and estimated cost of repair
14 .
What is the NADA adjusted retail value of the mobile home? *
15 .
What is the decal information on the mobile home? *
16 .
Is the HUD Construction Code label and the Interior State Data plate still present on the mobile home? *
Yes No
17 .
Does the mobile home include any options (i.e. fireplace, bay window, bow window, garden window, skylight, air conditioning, etc.)? *
18 .
Has the mobile home undergone any renovations or remodeling? *
Yes No
19 .
If yes, please detail renovations.
20 .
Were the proper state permits issued and signed at the time of the remodeling?
Yes No
21 .
Was a completion acceptance obtained from the state after the renovations were completed?
Yes No
22 .
If yes, please give dimensions (ft x ft).
23 .
What city/state is the mobile home located in? *
24 .
Is the mobile home located: *
In a mobile park
On private land
Other
25 .
If "Other", where is it located:
26 .
If mobile home is located on private land, how much land is part of the collateral for the note?
27 .
If mobile home is located on private land, (check the selections which apply)
it has a permanent foundation and the chassis has been removed.
it has undergone affixation procedures and is taxed as real estate instead of personal property.
28 .
If mobile home is located on private land, what is the physical address of the property?
29 .
If mobile home is located in a park, please provide the park name.
30 .
If mobile home is located in a park, please provide the park address.
31 .
If mobile home is located in a park, please provide the park manager's name.
32 .
If mobile home is located in a park, please provide the park manager's phone number.
33 .
If mobile home is located in a park, please provide the park age and condition.
34 .
If mobile home is located in a park, please provide the NADA park rating.
35 .
What type of park is the mobile home located in?
Family
Adult
Senior
Other
36 .
What types of amenities does the park offer? (Tennis court, swimming pool, recreation facility, clubhouse, spa, weight/exercise room, banquet facilites, BBQ area, etc.)
37 .
What is the mobile homes subject space number in the park?
38 .
What is the space rent (in $) for the mobile home?
39 .
How many spaces are available in the park?
40 .
What is the estimated vacancy factor in the park?
41 .
What is the original date of sale? *
42 .
What was the sale price (in $)? *
43 .
What was the down payment amount (in dollars)? *
44 .
What is the original face value of the note? *
45 .
What is the interest rate on the note (in percentage)? *
46 .
What is the original term of the note (in months or years)? *
47 .
What is the monthly payment on your note? *
48 .
When was the first payment made on your note? *
49 .
How many payments have been made? *
50 .
How many payments remain? *
51 .
When is the next payment due? *
52 .
Have all the payments been made on time? *
Yes No
53 .
If no, please elaborate. How many late payments? How late have they been? Is the note current now?
54 .
What is the balance due on the note currently? *
55 .
Is there a balloon payment? *
Yes No
56 .
If yes, how much is the balloon and when is it due?
57 .
Is the note you are selling the senior note? *
Yes No
58 .
If no, please give specifics of senior liens (balance due, original note value, interest, monthly payment, length, balloons)
59 .
What is the buyer's credit rating? *
60 .
Please tell us what you know about the buyer--income, primary occupation, dependents, etc. *
61 .
Do you have a credit report available for the buyer? *
Yes No
62 .
If yes, what is the date of the report?
63 .
Are you personally receiving payments on this note? *
Yes No
64 .
Please tell us about your needs and expectations so that we may better serve you. *
65 .
How many payments would you like to sell? *
66 .
How much money would you like to get by selling these payments? *
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