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Mortgage Note Quotation Form
Note Holder's Name
Note Holder's Email Address
Contact Phone
Contact Fax
Mortgage Information Worksheet
Property's Original Sales Price
Down Payment
Note's Monthly Payment
Note's Term
Note's Original Balance
Note's Interest Rate
Note's Interest Rate is
Fixed
Variable
Date of Note's First Payment
Is This Note Current?
Yes
No
Number of Note Payments Made
Payments Remaining
Is There a Balloon Payment?
Yes
No Balloon
If a Balloon, what is the Amount?
Balloon's Due Date
Note's Lien Position
First Position Lien
Second Position Lien
Property's Appraised Value
Appraisal Date
Is there a Title Policy?
Yes
No
Property is Currently...
Owner Occupied
Renter Occupied
Vacant
Property Description
Single Family
Duplex
Triplex / Fourplex
Mobile Home
Commercial
Vacant Land
Special Purpose / Other
Additional property Information including the property's full address, its age, physical condition, type of neighborhood, etc. Are you Including any photographs?
Credit of Payor if known
Excellent
Good
Fair
Poor
Unknown
Is the Payor in the Armed Forces?
Yes
No
If "Yes", is Payor deployed?
Yes
No
Quote type request
Entire Note Balance
Balloon Balance
Give Me Some Options
Additional quote request information such as amount of funds required and why you are selling the note.
Please answer the math question
. The sum of 9 + 3 =