Please provide the following contact information: (*denotes required information for a quote)

Name*
Title
Organization
Home Phone
FAX
E-mail*

Please check one:

            Note Holder (receiving payments on a note)        

            Note Broker

            Note Finder     

Choose one of the following options*:

Deed of Trust Mortgage Contract for Deed Land Contract Other

Select any of the following options that apply*:

Single Family Home (1-4 units)

Condominium

Mobile Home	Singlewide	Doublewide

		Older than 1990	Newer than 1990

Owner occupied	Non-owner occupied (rental)

Multi-Family Home (5 units or more)

Commercial             

Land Only

Where is the property located? (City, State)*

What was the selling price of the property?*

How much down payment?*

How much is the first mortgage?*

How much is the second mortgage?

Enter the original date of the mortgage:

-- mm/dd/yy

What was the amount of the original mortgage?*

For how many months (term)?*

What was the interest rate?*

How much is the monthly payment?*

What is the current balance?

Enter the date of the first payment:*

-- mm/dd/yy

How many payments have been made?*

How many payments are left?

Enter the date of the next payment due:

-- mm/dd/yy

How much is the balloon payment?

Enter the date of balloon payment:

-- mm/dd/yy

Does the buyer have good credit?*

Yes No Unknown

Comments:

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