To receive a FREE, VALID Cash Purchase Quotation for your Business Note or Contract, complete the Worksheet below.

Click the SUBMIT button at the bottom of the form after you are satisfied with your answers.

                                       That's all you have to do!

Following our review of your Note Information,  your own personal Client Manager will contact you with a Note Cash Purchase Quotation to buy your note.

Please also email us a copy of your signed note and your latest Business Federal Tax Return.  Email to private@notefundingcenter.com

* Questions marked with an asterisk require answers.

* Required fields

Name *

E-mail Address *

Today's Date: *

Note Sale Desire: * Select from List Want to Sell the Whole Note for Cash. Want to Sell a Portion of Note for Cash. (As described in COMMENTS below.) I Want a For-Fee Note Appraisal. Other, explained in COMMENTS below.

Your Mailing Street Address: *

Your Mailing City, State and Zip: *

Voice Phone: *

Fax:

Note Relationship: * Select from List Owner Agent Broker Finder Power of Attorney CPA Other, explained in COMMENTS below.

Note Business Property Street Address: *

Note Business Property City, State and Zip: *

Business Name Now: *

Business Name Before Note: *

Business Age in Years: *

Business Type: * Select from List Retail Wholesale Manufacturing Distributor Real Estate Developer Restaurant Service Agency Professional Practice Consultancy Contractor Internet Only service or product provider. Internet and Physical Location service or product provider. Other (As Described in COMMENTS section below)

Business Description: *

Business Sale and/or Note Transaction, By: * Licensed Escrow/Title or Legal professionals. Buyer and Seller. Buyer, Seller and Legal professionals.

Business Franchise: * Yes, and have Franchisor approval of Business Buyer. Yes, and do not have Franchisor approval of Business Buyer. No.

Business Sale Asset Values---EQUIPMENT. *

Business Sale Asset Values---INVENTORY. *

Business Sale Asset Values---GOODWILL. *

Business Sale Asset Values---REAL ESTATE. *

Business Sale Asset Value--INTELLECTUAL PROPERTY.

Business Sale Asset Value---ACCOUNTS RECEIVABLE: *

Business Premises Type: * Select from List Office Building Restaurant Building Commercial Mall Industrial Mixed Use Home Office/Operation Other, explained in COMMENTS below.

Business Premises Condition: * Select from List Excellent and Code Compliant Excellent and Not Totally Code Compliant Very Good Average Needs Repair Needs Remodel Ready for Development Under Development Other, (Describe in COMMENTS below).

Business Premises Ownership: * Select from List Note Payor Owned, including land and is part of Note Security. Note Payor or Note owner Owned, including land and is NOT part of Note Security. Note Payor Owned without land and is part of Note Security. Note Payor or Note owner Owned without land and is Not part of Note Security. Lease that expires after Note Term. Lease that expires before Note Term. Rented, month to month. Mutiple locations. Varied ownership or lease options. Other, described in COMMENTS below.

# of Months Remaining on Existing Business Premises Lease

Business Premises Renewal Terms: * Select from List N/A. Note Payor Owned with Land. N/A. Note Payor Owned with Long-Term Land Lease. One Year Lease Renewal Option. Multiple One Year Lease Renewal Options. Three Year Lease Renewal Option. Multiple Three Year Lease Renewal Options. Five Year Lease Renewal Option. Multiple Five Year Lease Renewal Options. Ten Year Lease Renewal Option. Monthly Renewal Option. Must Move at End of Use Term. Other, explained in COMMENTS below.

Business Sale Transaction $ Amount: *

Business Sale Transaction Date: *

Business Sale Transaction Down Payment: *

Business Sale Down Payment in Cash: * Yes No. (Explain the No Down Payment situation in COMMENTS section below.)

1st Lien/Note Original Principal Amount: *

2nd Lien/Note Original Principal Amount: *

3rd Lien/Note Original Principal Amount: *

Total of all Liens/Notes Original Principal Amount: *

Note Creation: * Select from List From Sale of Whole Business From Sale of Part of Business From Sale of Stock/Equity in the Business Entity From Partnership Sale From Re-Finance of Business From Developmental Financing From Re-Developmental Financing From Re-Capitalization of Business From a Contract (I explain in COMMENTS below) From Bankruptcy Financing Other (I explain in COMMENTS section below.)

Note Creation Date: *

Note for Sale Business Debt Position: * 1st Position 2nd Position 3rd Position

Note Current Principal Balance $ Amount: *

Note Interest Rate (If adjustable, explain in COMMENTS below): *

Note Terms: * Select from List Fully Amortized with equal payments. Fully Amortized over the Note Term with varying payment and or Interest amounts as explained in COMMENTS section below. Interest Only with Balloon Payment. Set Payment amounts with Balloon Payment. Payments based on Events. Payments based on Business Activity. Other (as I explain in COMMENTS section below.)

Current Note Payment $ Amount: *

Note Payment Period: * Select from List Weekly Every Two Weeks Monthly Every Two Months Quarterly Every Six Months Annually Following Business Achievement of Goal(s). Explained in COMMENTS below. Other, Explained in COMMENTS below.

Note Term in Months: *

1st Payment Due Date: *

Next Current Payment Due Date: *

# of Payments Made: *

# of Payments Remain: *

# Note Payments Late: *

Note Balloon Amount: *

Note Balloon Due Date: *

Note Payor Personal Guarantee: * Yes, without defined or collateralized Assets outside the Business. Yes, with defined and collateralized Assets and documentation outside the Business. No

Description of Note Security: * Select from List All Assets described in the Bill of Sale, Asset Sale Agreement, Settlement Statement or Other Asset Sale Document. All Stock or Equity in the Selling Corporation, Partnership or LLC. All Stock or Equity sold by Note Owner. Other, (as I describe in COMMENTS section below).

Note Payor Current Three Credit Scores *

Corporation/Partnership Credit Rating: * Select from List AAA AA A BBB BB B CCC CC C Unknown Not Applicable

Note Payor is a: * Select from List Individual(s) Partnership Corporation Both a Corporation and Individuals LLC Both an LLC and Individuals. Institution Other (I explain in COMMENTS section below.)

Note Payor Operates the Business: * Yes No

Note Payor Occupation: * Select from List Experienced in similar business 1st time business Owner/Operator Serial Business Owner Licensed Professional Developer Builder Franschisor Franchisee Investor Speculator Executive Administrator Educator Other, explained in COMMENTS below.

Is this a Simultaneous Business Sale and Note Sale? * YES NO

Does the Business earn at least 2 times more Net Profit than the Note Payments Expense: * YES NO

Email or Fax your last full year Federal Business Tax Return plus a copy of your signed note to us at private@notefundingcenter.com or 888-642-3997. * Yes No

COMMENTS about Note, Business Property or Premises, Business, Payor or any other information you think we should know: *

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What Keywords did you use to find us?

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