Owner~Note Sales.com - We Buy Owner Held Notes - Seller Financed Mortgage Notes - Deeds of Trust & Land Contracts Nationwide

Real Estate Note - Quote Request Form

In order for us to prepare your FREE, NO OBLIGATION quote for the cash value of your mortgage note, please fill in the blanks below. All fields are required. Please provide exact, accurate responses to each question and do not estimate anything. Instead, take the time to gather the information directly from your cash flow note or other paperwork. Remember, the offer we make you will be based directly on the information you provide. We will contact you within several hours of receiving your request. To review our privacy policy, please click here

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Seller's Contact Information

The person completing this form Is:

Full Name:

Email:

Address:

City:

State:

Zip:

Daytime Phone:

Evening Phone:

Cell:

Fax:

When is the best time to contact you?:

Are you personally receiving payments on this note?:

Note, Property, Security & Payor Information
Type of Property:
Please Provide A Description Of The Property And Surrounding Area:
Payor's Credit. If Current Credit Score Is Unavailable, Please Provide Credit Score At Time Of Transaction
Property Value:
How Did You Arrive At That Value?:
Owner Occupied?:
Sales Date:
Sales Price:
Down Payment:
Was Down Payment Made in Cash, Or Some Other Format (2nd, etc.):
Property Address Including City, State & ZIP:
Face Value of Note For Sale
Note Balance
Interest Rate
Payment Amount
Payments Made
Number of Payments Made
1st Payment Due Date
# of Payments Remaining
Next Payment Due Date
Loan to Value	%
Are Payments Current or Delinquent?
Is There A Balloon Payment
If Yes, How Much Is The Balloon Payment?
When Is The Balloon Payment Due?
Position of Note
1st - Remaining Balance
2nd - Remaining Balance
Why Are You Selling This Note?
How Much Cash Do You Need?
When Do You Need It By?
Age of Structure

Other Information: Please provide any other additional information that would assist us in preparing an accurate quote, such as whether the interest rate is adjustable, whether future payment amounts may change, the acreage on lots that exceed five acres, the type of businesses located on commercial property, etc.:

Please have ready for faxing, the following documents:

Copy of Promissory Note
Copy of Security Agreement

Thank you for your business.

Last Updated: 03/15/2005

We Buy Seller Financed Mortgages and Trust Deeds at Simultaneous Closings