Sale of Existing Note

Borrower Information

Name

Address

City

State

Zip Code

Home Phone

Work Phone

Email

Please contact me by
EmailHome PhoneWork Phone

Best Time to Reach me
Morning 10:00 AM to 11:00 AMAfter Noon 12:00 PM to 18:00 PMEvening 18:00 PM to 20:00 PM

Occupation

Annual Income
Less than $25,000$25,000 to 50,000$50,000 to 75,000$100,000 to 150,000$150,000 to 250,000$250,000 to 500,000more than $500,000

Credit Status
more than 800799 to 700699 to 600599 to 500499 to 400In BankruptcyBankruptcy discharged within 3 yearsOther I will explain in comment area

Property/ Structure Information

Any foreclosures, bankruptcies, leins, or judgements?*
YesNo

Approx Property Value

City

Is the property a monthly rental? If so, what’s the rental
YesNo

Lot Size Square Footage

Property Address

Property Purchase Price

Purchase Date
Now or Less than year1 year ago2 years ago3 years ago4 years agoMore than 5 years ago

State

Structure Square Footage

Property Purchase Price

what’s the rental income?

Year Built

Zip Code

Property/ Structure Information

Any foreclosures, bankruptcies, leins, or judgements?*
YesNo

Approx Property Value

City

Is the property a monthly rental? If so, what’s the rental
YesNo

Lot Size Square Footage

Property Address

Property Purchase Price

Purchase Date
Now or Less than year1 year ago2 years ago3 years ago4 years agoMore than 5 years ago

State

Structure Square Footage

Property Purchase Price

what’s the rental income?

Year Built

Zip Code

Existing First Trust Deed

Current or Past due
CurrentPast due

Monthly Payment

Interest Rate

Original Balance $

Present Balance (if none type “0”) $

Term

Existing Second Trust Deed

Monthly Payment $

Present Balance $

Term

Loan Quote Request

Amount of Cash Down Payment (if purchase)

Amount of Loan Requested

Amount of Seller Carryback (if applicable)

Additional Information / Comments

Purpose of Loan
PurchaseMaturing Loan – No Cash outMaturing Loan — Cash outCash out RefinanceRennovation or expansionInvestmentBillsBusiness PurposesOther

Requested Loan Type
First MortgageSecond MortgageThird Mortgage

Term Desired
1 Year2 Year3 Year4 Year5 Year6 Year7 Year8 Year9 Year10 Year