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Are you personally receiving payments on this note ?: Select Yes No * Contact First Name:: * Contact Last Name: : Contact Address & Zip :: Contact Phone: : * Contact Email Address:: Note Balance: : Type of Property: : Select SFR Multi-Unit Commercial Vacant Land Mobile Home Owner Occupied Rental Business Account Receivable Business Note Car Paper Casino Winnings Disabiity Payments Consumer Loan Divorce Liens Hard Money Loan Home ImProvement Note Inheritance Land Contract Land / Developed Land / Undeveloped Lawsuit Insr Settlement Lawyers Fee Legal Settlement Lottery Winnings Medical Malpractice Military Pension Mobile Home With Land Mobile Home Without Land Sport Contract Sweepstake Winnings Aircraft Note Tax Lien Cerificates Tax Shettlers Structured Settlements Other Payor's Credit:: Select A or 700 & Above B or 670 C or 630 D or 600 Below 600 Unknow * Property Value:: * Owner Occupied?: : Select Yes No * Date of Purchase::

* Payments Made:: Select Monthly Quarterly Semi - Annually Yearly Other * Sales Price:: * Down Payment:: * State:: * Face Value of Note For Sale: : * Interest Rate: : Payment Amount:: * # of Payments Made:: * Is The Note:: Select Delinquent Current * # Of Payments Remaining:: * Next Payment Due Date: : Loan to Value:: * Any Balloon Payment: : Select Yes No When Is The Balloon Payment Due: : How Much Are The Balloon Payment: : * Position of Note:: Select 1st 2nd 3rd Other 1st - Remaining Balance: $ : 2nd - Remaining Balance:: 3rd - Remaining Balance: $:

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