Street address
City
State/Province
Zip Code

                                           Does the note payor live there?

                                        Yes No

                                        Yes No                        

                                           What type of Instrument? (i.e., mortgage, deed of trust, contract, etc.)

                                           What type of Property? (i.e., single family, condo, duplex, mobile (year? size?,)  
                                           lot/land, commercial - apartment. bldg., shopping center, office building, etc.)

                                           What was the sales price of the property?

                                           What was the sale date?

                                        -- mm/dd/yy

                                           How much cash did the buyer put down?

                                           How much is the property worth today?

                                           Is the Note in 1st Lien position?

                                        Yes No

                                           If you hold a 2nd, what is the name of the lender holding the 1st Lien Note?

Organization

                                           What is the original amount of the Note?

                                           Current balance?

                                           Interest rate?

                                        %

                                           Monthly payment?

                                      $

                                           Does this include taxes and insurance?

                                        Yes No

                                           How long is the Note's original term?  (ex: 30, 20, 15 yrs?)

                                           Are they current?

                                        Yes No

                                           If not, how far behind?

                                           What was the date of the first payment?

                                        -- mm/dd/yy

                                           When is the next payment due?

                                        -- mm/dd/yy

                                           How many payments have been made?

                                           How many remain?

                                           If a balloon payment will be due, how much is it?

                                     $

                                          What is the date the balloon is due?

                                       -- mm/dd/yy

                                          Where are the payor(s) employed?

Organization
Title

                                          What are their name(s) and address?

First name(s)
Last name
Street address
City
State/Province
Zip code

                                          Payor Soc. Sec. #?

                                          Payor 2 Soc. Sec. #? (if applicable)

                                          Do you know the payor(s) credit score(s)?  If so, what are they?

                                      Yes No        

                                           If you do not know their scores, what do you believe the payor(s) credit report
                                           reflects? (i.e., excellent, good, fair, poor, previous bankruptcy, etc.)

                                           What else should we know about the note, the payor, the property?  or any
                                           additional information?

                                          PLEASE PROVIDE US WITH THE INFORMATION BELOW AND HOW YOU PREFER
                                          TO  BE CONTACTED WITH AN OFFER:

First name
Last name
Street address
City
State/Province
Zip code
Work Phone
Home Phone
Fax
Email
URL

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