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Untitled Document
Seller Information
Last Name:
First Name
Address
City
State
Zip
Email
Home Phone
Work Phone
Borrower(s) Information
Last Name:
First Name
Address
City
State
Zip
Property and Lien Type
Address
City
State
Zip
Describe property type in detail - Commercial, Residential, Single Family, Duplex, Triplex, Restaurant, Etc.
Type of Document:
Note and Mortgage
Deed of Trust
Land Contract
Contract for Deed
Other
if Other:
If Property is a Mobile Home
Year:
Doublewide
YES
NO
Dimensions
Value
Current Appraised Value:
How was this Determined
Appraisal
Realtor
Guesstimate
Sales Information
Sales Price:
Down Payment
Mortgage Amount
Interest Rate
First Payment Due
Next Payment Due
Terms in Months
Monthly Payment Amount
Balloon Term
Balloon Date
Balloon Amount
Current Balance
# of Payments Made
Remaining
Are Payments Current Within the Last 12 Months?
YES
NO
Credit Problems
YES
NO
if so, explain:
Underlying Mortgage
YES
NO
if so, what is the remaining balance to be paid off out of proceeds:
Additional Comments: Please provide as much detail as possible
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