Real Estate Note Submission Form
 

*Required                                                                                                                                                                                                

* Face Value of Note :$

 

* Note Balance:$

 

* Interest Rate:%

 

* Payment Amount:$

 

* Payments Made:

 

*When 1st Pmnt Made:

 

* No. of Payments Made:

 

* No. of Payments Remaining:

 

* Next Payment Due Date:

 

*Payment Status

 

* Balloon Payment :

 

 Balloon Payment:

 

Balloon Payment Due:

 

* Position of Note:

 

* 1st Lien -  Balance:

 

* 2nd Lien-  Balance:

 

* Type of Property:

 

*Payor's Credit:

 

Property Value:

 

*Owner Occupied?

 

  *Sales Date:

 

*Sales Price:

 

*Down Payment:

 

Loan to Value:

 

* State:

 

*City of Property:

 

*Contact Name:

 

Relationship to Seller:

 

*Your Phone #:

 

 * Your Fax

 

*Your E-Mail:

 


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