Land Note Submission Form

To receive a free, no obligation quote on your land note, please take a moment to complete the following worksheet or give us a call toll free at 718.713.7064

Fist Name:
Last Name:
Your Time Zone:
Best time to call you back with a quote:
(Area Code) Phone Number:
Email Address:
Your City:
State:
Zip Code:
Property Information
Property Type:
Fully describe the property & improvements:
What is the best use for the property:
Property address:
City
State:
Zip Code:
Property County:
Note Payors Information
Note payors name:
Note payors address:
Note payors credit believed to be:
Receivable Information
Receivable Type:
If other please specifiy:
Note lien position:
Note Status:
Date of sale:
Sale Price:
Down Payment:
Beginning Balance (1st Lien):
Beginning Balance (2nd Lien):
Date 1st payment was due:
Next payment due date:
Payment amount:
Term of note (in months):
Payment frequency:
Interest rate:
Current balance (1st Lien):
Current balance (2nd Lien):
Number of payments made:
Number of payments remaining:
Is there a balloon payment?
Balloon payment due date:
Amount of balloon payment:
What is the approximate value of the property?
Special Clauses or Comments:
List amounts of any junior position (2nd or 3rd) liens:
Reason for selling your note:
What type of purchase are you interested in?
Is there a specific dollar amount you need to raise?
Do you have and can you supply copies of the following documents?
Note and Deed of Trust Mortgage or Contract:
Escrow Closing Statement:
Payment History:
Title Insurance Policy:
Recent appraisal of the property?
Current Hazard Insurance Policy:
Can you provide a photo of the property?