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This page will not time out, so please fill in all information. Once you have submitted a note, you can not change any of the options. Please check over your work carefully and make sure all is completed and correct. If a field does not apply, type "NA" (without quotes). |
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| Face Value of Note | ($ Amount at Creation) | Note Balance | |
| Interest Rate | Payment Amount | ||
| Payments Made | Date 1st Payment Made | ||
| # Payments Made | # Payments Remain | ||
| Next Due Date | Note Status | ||
| Balloon Payment | Balloon Amount | ||
| Date Balloon Due | Position of Note | ||
| 1st Remaining Balance | 2nd Remaining Balance | ||
| Payments Made on 2nd | Date Payment Made on 2nd | ||
| # Payments Made on 2nd | # Payments Remain on 2nd | ||
| Payor's Credit | Value of Real Estate | ||
|
Owner Occupied |
Sales Date | ||
| Sales Price | Down Payment | ||
| Loan to Value | (Loan divided by Property Value) | Asking Price for Note | |
| Type of Real Estate | If Other, Specify | ||
| I have a copy of the following and can make copies available by: | Email Fax Mail | ||
| Copy of the Note | Yes No | Closing Statement | Yes No |
| Proof of Hazard Insurance | Yes No | Photo of Property | Yes No |
| Payor's Credit Report | Yes No | Recent Appraisal | Yes No |
| Property Street Address | Property City | ||
| Property State | Property Zip Code | ||
| You are a/an | If Other, Specify | ||
| Your First Name | Your Last Name | ||
| Your Phone Number | Your EMail Address | ||
| Please provide added information about your note. The more detailed the better. | |||
| Be careful, "Reset" will clear entire page! | |||
