Real Note Submission Form

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

First Name:
Last Name:
Your Time Zone:
Best time to call you back with a quote:
(Area code) Phone number:
Email Address:
Your address:
Your City:
State:
Zip Code: PROPERTY INFORMATION
Property type:
If mobile home what year was it manufactured:
If mobile home what is the make & model:
Type of mobile (Single or Double):
Property address:
City:
State:
Zip Code:
Property County:
Fully describe the property: NOTE PAYORS INFORMATION
Note payors name:
Note payors address:
Note payors credit is believed to be: RECEIVABLE INFORMATION
Receivable type:
If other please specify:
Note lien position:
Note status:
Is the property owner or tenant occupied:
Rent amounts if tenant occupied:
Date of sale:
Sale price:
Down payment:
Beginning balance (1st lien):
Beginning balance (2nd lien):
Date 1st payment was due:
Date next payment is due:
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:
Reason for selling your note:
List amounts of any junior position liens:
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 Deed of Trust Mortgage or Contract:
Escrow closing statement (HUD-1):
Existing title insurance policy:
Recent appraisal of property:
Current hazard insurance policy:
Payment history:
Can you supply a photo of the property:
I am ready for a free quote and if your offer meets my approval I am ready to close this transaction within the next 30 days.