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MORTGAGE PURCHASE WORKSHEET

If you would like a fast easy quote on the purchase of your real estate note- Trust Deed, Mortgage note or Land Contract please fill in all requested information below:

All question marked by the red asterisk must be answered

BROKER INFORMATION:
Broker Name:
Mailing Address & Phone Number:
City, State, And Zip Code :
CLIENT INFORMATION :
Your Name & Phone # (code) + #:*
Mailing Address:*
City, State And Zip Code:*
PROPERTY INFORMATION:
Type Of Property:*
Location Of Property - include City, State & Zip:*
Market Value Of Property $:*
Age Of Property:*
Sale Price $:*
Sale Date:*
Down Payment $:*
MORTGAGE NOTE FOR SALE:
Type Of Note, i.e., Trust Deed,Mortgage or Land Contract:*
Current Balance:*
Original Amount $:*
Original # Of Months:*
Amount Of Ballon $:*
# Of Months Remaining On Note:*
Interest Rate %:*
Payment Amount $:*
Lien Position i.e., 1st, 2nd:*
:
UNDERLYING MORTGAGE (if any):
Current Balance $:*
As Of What Date:*
Interest Rate %:*
Payments $:*
Ballon Amount & Due Date:*
This Quote is for-Ballon,Pymt Only or Entire Note:*
Comments:
Contact Email Address:*
YOU MUST PROVIDE YOUR PHONE NUMBER WITH AREA CODE:*

P.O. Box 4226
Antioch, Illinois 60002
USA

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