If you would like to submit a NOTE for us to consider buying, please enter information on the following form:

*Required Fields
NOTE SELLER INFORMATION
*Name of Note Seller:
*First Name: *Last Name:
Street Address:
City, State Zip
City: State: Zip:
Phone #:
Fax #:
*Email:

REAL ESTATE & PAYOR INFORMATION
Property Street Address:
City, State Zip
City: State: Zip:
County:
Property Description:
Single Family Mult-Family Mobile Home/Land Commercial
Land Only Improved Land    
Occupancy Status:
Owner Occupied Rental Vacant  
Improvements:
*PROPERTY VALUE
$
Payer's Name:
First Name: Last Name:
Payer's Employment:
Credit Rating / Score
Payment History

NOTE INFORMATION
*Sale Price $
*Down Payment $
All Cash Sweat Equity Trade
*Amount Financed $
*Interest Rate (Annual) %
*Payment Amount $ Do NOT include taxes and insurance!
*Original Term (# of months of payments)
*Date 1st Payment Made
Date Last Payment
# of Payments Made
# Payments Remaining
Balloon Amount $
Date Balloon Due
*BALANCE ON NOTE
$

*Reason for Selling Note:
*Asking Price for Note: $
Amount of Cash Needed: $

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