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Land Note Cash-Purchase-Quotation Request Worksheet

To receive a FREE Cash Purchase Quotation for us to buy your Land Note, Mortgage or Contract, complete the Information 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 Information, your own personal Loan Supervisor will contact you with a Land Note Cash Purchase Quotation to buy your land note.

* Fields marked with an Asterisk are Required Fields.

Name *
E-mail Address *
Today's Date: *
Mailing Street Address: *
Mailing City, State and Zip: *
Voice Phone: *
Fax:
Note Relationship: *
Note Payor Current Three Credit Scores *
Certified Appraisal Amount:
Certified Appraisal Date:
Owner Occupied: *	Yes No
Property Street Address: *
Property City, State and Zip: *
Zoning: *
Property in a SubDivision: *	Yes No
Property Size: *
Describe the Structures on Property: *
Property Geography: *
Future Plans for Property: *
Platt Map Approved: *	Yes No
Property Access by Paved Road: *	Yes No
Property Curbs and Sidewalks: *	Yes No
Electricity on Property: *	Yes No
Water Service or Well on Property: *	Yes No
Sewer Service or Septic on Property: *	Yes No
Phone Service on Property: *	Yes No
Cable and Internet Service on Property: *	Yes No
Any Note or Property Deed Release Provisions: *	Yes No
Property Sales Date: *
Property Sales Price: *
Cash Down Payment: *
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: *
Position of Note for Sale: *
Note for Sale Current Principal Amount:
Interest Rate: *
Payment Amount: *
Note Payment Terms: *
Payment Period: *
Original Term of Note in Months: *
# of Payments Made: *
# of Payments Remain: *
# of Payments Late: *
Date of 1st Payment: *
Date of Next Payment: *
Balloon Payment Amount: *
Balloon Payment Date: *
Is this a Simultaneous Land Sale and Note Sale? *	YES NO
Comments about Note, Property, Payor or any information you think we should know:
How did you find us?
What Keywords did you use to find us?

* Fields marked with an asterisk are required fields

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