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Buy My Note
SECTION A - Your contact information
Name:   E-mail Address:  
Address:
City: State:
Zip:
Phone:    Fax: 
SECTION B - Mortgage For Sale Information
Type of Mortgage: Book & Page number:
Date Created:    Beginning Amount:  
Terms: (other, explain):
Interest rate: %   Payment amount:  (not including taxes or insurance)
Balloon due date:   1st pmt made date:  
# of payments made:   # of payments left: 
Next payment due:   Balance owed: 
Balance of 1st (if this is a second):  
Are payments Interest Only? (If yes, monthly payment multiplied by 12 must equal the interest rate multiplied by the amount of mortgage. Example: $500/month X 12 = $6000 interest/year; 10% X $60,000 = $6000 interest/year) (If no, mortgage has a payoff period of years) 
SECTION C - Property Sale Information
Sale Date    (Explain if not same date mortgage created)
A. Sales price    D. Amount of 1st   
B. Cash down pmt    E. Amount of 2nd  
C. Amount Financed    F. Debt Balance   
C and F must be the same amount. For example, if the house sold for $100,000 (A) and there was a down payment of $20,000 (B), then total being financed would be $80,000 (C). If the first mortgage is $50,000 (D) and the second mortgage is $30,000 (E), then the total debt is $80,000 (F). If C and F are not the same, explain why:
SECTION D - First Mortgage, if applicable
Type of Mortgage: Book & Page number:
Date Created:   Beginning Amount: 
Terms: (other, explain):
Interest rate: %  Payment amount: (not including taxes or insurance)
Balloon due date:   1st pmt made date: 
Are payments Interest Only?(If no, mortgage has a payoff period of years) 
SECTION E - Property Information
Owner Name   Address 
City   Closest major city  Distance from property miles
State   Zip  
Type of property If Mobile Home, Make, Year, Size: Current Estimated value   
How many bedrooms?   How many baths?  
Describe any special features
Status of property
SECTION F - Required
Why do you want to sell, how much do you want for the mortgage, and how much do you need (if you want cash for a car or some other purpose)? The more information you give us, the easier it is for us to come up with a deal that meets your needs.
Amount desired:  Cash needed:  
Reason for selling:
Additional comments:
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