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Seller Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Subject Property Information
Address
Street Address
Street Address (Apt, Unit, Suite)
City
State / Province
Postal / Zip Code
Property Type
Single Family Home
Commercial Use
Vacant Land
Mobile Home
2-4 Unit
Special Use
Current Use
Owner Occupied
Renter Occupied
Vacant
Original Sales Price $
Down Payment $
Note Information
Mortgage
First
Second
Wrap Around
Current Balance Owed to You (if available)
Date of First Payment
Loan Term in Years
Original Amount of Note
Interest Rate
Monthly Payment Amount
Number of Payments Made
Is the next payment current or delinquent?
Current
Delinquent
If delinquent, how many months is the payor behind?
Is there a ballon payment on this note?
If yes, when is the balloon payment due?
What is the balloon payment amount?
How did you learn about us?
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Referral
Email
Newspaper
Internet Search
Mail
Other
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