|
Name:* |
|
|
Address:* |
|
|
City,
State, Zip:* |
,
,
|
|
Home
Phone: |
|
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Work
Phone:* |
ext:
|
|
E-mail
Address:* |
|
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Please
contact me by:* |
email,
home phone,
work phone |
| Best
time to reach me: |
|
|
Property/Structure/Information |
| Approx. Property
Value/Purchase Price:* |
$
|
| Any
defaults?* |
If
so, why?
|
| Property
Type:* |
|
|
Property
Address:* |
|
|
Property
City & State:* |
,
|
|
Existing
First Trust Deed |
|
Present
Balance:* |
$
(if none type "0") |
|
Original
Balance: |
$
|
|
Monthly
Payment: |
$
,
current or past due:
|
|
Interest
Rate: |
, Term:
|
|
Existing
Second Trust Deed |
|
Present
Balance: |
$
|
|
Original
Balance: |
$
|
|
Monthly
Payment: |
$
,
current or past due:
|
|
Interest
Rate: |
, Term:
|
|
Note
Information/Sale Request |
| Original
Balance of Note:* |
$
|
| Current
Balance of Note:* |
$
|
| Note
Interest Rate:* |
|
| Monthly
Payment:* |
$
|
| Number
of Months to Maturity:* |
|
| Note
Type:* |
|
| Is
This a Seller Carryback Note?* |
|
| Balance
of Underlying Loans: |
$
|
| How
much would you like for this note?* |
$
|
|
Comments/other
issues: |
|
|
|