Y & S Financial Group, Inc.
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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:* 
 

Y & S Financial Group, Inc.
P.O. Box 574
Park Ridge, Illinois  60068
USA
Phone: 815 759-9190
Toll Free: 888 310-1417
Fax: 877 ICE 4 ALL

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