| Contact Information |
* Required Fields |
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| Payor (s) Information |
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SSN |
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| Property Information |
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City |
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Zip Code |
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If Mobile, Year |
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MH Legally Fixed? |
Yes No |
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If Land, # of Acres |
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Land Improvements |
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Date Of Sale |
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Down Payment |
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Estimated Value |
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Value Arrived By |
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Payment History |
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Date of 1st Pay |
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Please provide any additional comments on the
property that will aid in the sell of your mortgage note.
If Commercial Property describe monthly cash flow
and age of buildings.
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| Mortgage Note Information |
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1st Mtg Amount: |
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2nd Mtg Amount: |
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Term (months) |
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Payment Amount |
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Current Balance |
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Balloon Payment? |
Yes No |
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$ |
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| Comments |
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Why Are You Selling?
(This helps us understand your needs.)
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Comments or Questions? |
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If not selling your whole note, how
much cash do you need ?
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