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1 .
First Name *
2 .
Last Name *
3 .
Email Address *
4 .
Telephone Number
5 .
What type of property is securing this note? *
6 .
Property address, including street address, city, state and zip code *
7 .
Is the property owner-occupied *
Yes No
8 .
What is the property value? *
9 .
How was this value determined? *
10 .
Do you have a property appraisal available? *
Yes No
11 .
If yes, what is the appraisal date?
12 .
What is the date of sale? *
13 .
What was the down payment amount (in dollars)? *
14 .
What position is the note you're selling in (i.e. 1st, 2nd, 3rd)? *
15 .
What was the original face value of your note? *
16 .
What date was the first payment made?
17 .
What is the monthly payment on your note (dollar amount)? *
18 .
What is the interest rate on the note (in percentage)? *
19 .
What was the original term of the note? Please indicate months or years *
20 .
How many payments have been made? *
21 .
How many payments remain? *
22 .
What is the due date of the next payment? *
23 .
Have all the payments been made on time? *
Yes No
24 .
If no, please elaborate. How many late payments? How late have they been? Is the loan current now? *
25 .
What is the balance due on the note currently? *
26 .
Is there a balloon payment? *
Yes No
27 .
If yes, how much is the balloon and when is it due?
28 .
If the note that you are selling is not in 1st position, please give the terms and balances of any senior loans. Include length, interest, original face value, monthly payment, and balloons.
29 .
Please tell us about any clauses in the note (prepayment, due on sale, etc.) *
30 .
What is the buyer's credit rating? *
31 .
Do you have a credit report available for the buyer? *
Yes No
32 .
Tell us what you know about the buyer. Employer, profession, salary, etc. *
33 .
Do you own title insurance for this note? *
Yes No
34 .
If property is commercial, please describe it. Include type of business, income, expenses, vacancy factor, zoning, number of units, how long in operation.
35 .
If land, please describe the land-location, any structures, zoning, geography, future plans.
36 .
If land property, please indicate which of the following are present:
Access to land via road
Paved road
Curbs and sidewalks on land
Electricity on property
Sewer and water works on land
Phone lines available
Cable/internet lines
Any strucures on property (garages, sheds, etc.)
37 .
If land property, what is the size of the lot?
38 .
If note is secured by a multi-family property, please indicate how many units are present, and what the rental income totals monthly.
39 .
Are you personally receiving payments on this note? *
Yes No
40 .
Please tell us about your needs and expectations so that we may better serve you. *
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