Best phone number to reach you.
Email *
Date of note *
Original note amount *
Term (months financed) *
Interest rate *
Monthly payment amount (P&I) *
Date first payment was due *
Balloon payment due date (enter n/a if no balloon payment) *
Balloon payment amount (n/a if no balloon payment) *
Number of remaining payments *
Next payment due date *
Payments third party verified (yes/no-cancelled checks, bank statements, etc.) *
Current balance (Unpaid Principal Balance – UPB) *
Current appraised value *
Address – City, State, Zip *
Year built *
Date of property sale closing *
Total selling price *
Down payment *
Property use type (SFR, commercial, mixed-use, etc.) *
Owner occupied * Yes No
Note payor's tri-credit score (FICO)
Security instruments (Deed of Trust, Mortgage, Land contract, etc.) *
Other liens (yes/no – if yes total amount) *
Title policy (required to close) * Yes No
Hazard insurance policy (required to close) * Yes No
Taxes paid- Current (required to close) * Yes No
