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Please fill out this form and click 'Submit for Valuation Quote'


Sellers Name: Date:

   Street:
City: State: Zip Code:
Phone: Fax: E-mail:

Real Estate Information:

Street: County:
City: State:


Current Estimated Value: Based On:

Residential:
Single Family: Multi-Family: Owner-Occupied: Rental:
Description:

Commercial:
Owner-Occupied: Rental:
Description:

Description Of Real Estate Property & Area:


Historical Information:

Date of sale:
Selling Price:
Down Payment:
1st Lien:
2nd Lien:


Note Information

Date of Note:
Amount:

Term in Months:

(A):
(B):

Payment Amount:
Balloon Amount:
Balloon Date:
Interest Rate:
Due Date 1st Pmt:
# of Payments Paid:
# of Payments Left:
Next Payment Due:
Balance:

Prior Mortgage Information(if any):


Payor Information:
(Employment Info, Payment History, SSN)


How much cash do you really need right now?


I have copies of the following:

Note: Yes: No:
Security Instrument: Yes: No:
Title: Yes: No:
Sales Contract: Yes: No:
Payor Credit Report: Yes: No:
Prior Mortgage Info: Yes: No:
Closing statement: Yes: No:
Bill of Sale: Yes: No:
Insurance: Yes: No:
Appraisal: Yes: No:
Payment History: Yes: No:

 

Selling Business Notes, Mortgages, Deeds of Trust (read this first) Information Required To Value a Business Note Information Required To Value a Mortgage or Deed of Trust Earning Income Referral Notes