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Sell Your Mortgage Note!
 
     
 
We are NATIONWIDE buyers of mortgages, trust deeds, and cash flow notes
offering the best possible prices to note sellers.
  
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Personal Information

Name*

First
Last
Email*
Address*

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country
Phone Number*

###		-
###		-
####

Property Information:

Property Address*

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country
Property Type*
 Single Family Residence 
 Condo or Multi-Unit 
 Mobile Home with Land 
 Mobile Home without Land 
Owner Occupied?*
 Yes 
 No 
Sales Price*
Date of Sale*

MM		/
DD		/
YYYY
Property Value*
Property Value Established By*
 Sale 
 Other 
If other, please explain:
Loan Position*
 1st 
 2nd 
 3rd+ 
1st Loan Amount*
Monthly Payment*
New or Assumed*
 New 
 Assumed 
2nd Loan Amount
Monthly Payment
New or Assumed
 New 
 Assumed 
Down Payment*

Note Information

Original Amount*
Balance*
Balance as of*

MM		/
DD		/
YYYY
Interest Rate*
Monthly Payment Amount*
Date of 1st Payment*

MM		/
DD		/
YYYY
Original Length in Months*
Type*
 Amortized 
 Interest Only 
 Other 
If other, please explain:
Number of Payment Made*
Number of Payment Remaining*
Payments on Time?*
 Yes 
 No 
Day of the Month Payments are Due*
Balloon Payment Amount (if any)
Balloon Payment Due Date

MM		/
DD		/
YYYY
Please explain any clauses

Seller Information

Note Seller's Motivation to sell Note*
Need to Close*
 ASAP 
 2 - 3 Months 
 3+ Months 
Received any other offers?*
 Yes 
 No 
If yes please state the amount of the offer

Payer's Information

The person making payments on the mortgage (note)
What does Payer do for a Living*
Payer's Credit Score*
Is there anything else about this note I should
know?

Acknowledgement

I certify that information contained in this form is true and complete. I understand that false information will result in an inaccurate quote. I authorize the verification of any or all information listed above.
Do you agree with the terms and conditions?*
 Yes, I agree. 
Initials*
Date*

MM		/
DD		/
YYYY
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