Note Buyer Investor - Online Mortgage Note Form

Note Buyer Investor

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Mortgage Note Form

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Owner Financed (Private) Mortgage Note Quote Request

	Owner's Name:
	Phone:
	Date:
	E-mail:

	1. Original Selling Price
	2. Down Payment
	3, Original Note Balance
	4. Months Financed
	Interest Rate
	5. Monthly Payment
	6. Balloon:	Yes No
	Date of Balloon:
	Amount of Balloon:
	7. Date of First Payment
	Remaining Number of Payments
	8. Current Balance of Note
	Current Appraised Value
	9. Owner Occupied	Yes No
	10. Underlying Balance	Yes No
	If yes, amount
	11. Credit of Payor	Excellent Good Fair Poor Unknown
	12. Property Type
	Age of Property
	13. Security Agreement
	14. Title Policy	Yes No
	15. Property Description / Address / Additional Comments