The following information are needed for us to grant your request in selling your "owner financed" mortgage note. 

You may submit this form to us by printing it out and faxing it to us and we will contact you within 48 to 72 hours with a "lump sum" quote based on the information you provide us below.

MORTGAGE QUOTE SHEET

Name ___________________________

Phone _____________________

Fax __________________

Date ____________

E-mail: __________________________

How did you find us? __________________

1. Original Selling Price _______________________

2. Down Payment ____________________________

3. Original Note Balance _______________________

4. Months / Years Financed ______________

    Interest Rate _______________

5. Monthly Payment ____________________

6. Balloon Yes or No.  If yes Date _______

    Amount ________________

7. Date of First Payment ________________

    Remaining Payments ________________

8. Current Balance _________________

    Current Appraised Value ________________

9. Owner Occupied - Yes or No

10. Underlying Balance - Yes or No - 

      If yes, Amt. _______________

11. Credit of Payer __Excellent __Good __Bad __Unknown

12. Property Type

__Single Family Res __Duplex/Four-plex __Condo/Town-home

__Mobile Home   __Single   __Double _____Age    __Commercial

13. __Deed of Trust __Mortgage __Land Contract __Contract for Deed

14. Title Policy - Yes or No

15. Property Description and Location / Comments:

____________________