| Contact First
Name |
|
| Contact Last
Name |
|
| Contact
Email |
|
| Contact
Phone |
|
| Are you personally
receiving payments? |
Yes
No |
| Type of
Property |
|
| Payor's
Credit |
|
| Property
Value |
|
| Owner
Occupied? |
|
| Sales Date (Month/Day/Year) |
|
| Sales
Price |
|
| Down
Payment |
|
| Property
Address |
|
| State |
|
| City |
|
| Original Note
Amount |
|
| Current
Balance |
|
| Interest
Rate |
|
| Payment
Amount |
|
| Payments
Made |
|
| # of Payments
Made |
|
| When 1st Payment
Made (Month/Day/Year) |
|
| # of Payments
Remaining |
|
| Next Payment Due
Date (Month/Day/Year) |
|
| Current |
Current
Delinquent |
| Balloon
Payment |
|
| Balloon Payment
Amount (if any) |
|
| Balloon Payment Due
Date (if
any) (Month/Day/Year) |
|
| Lien Position of
Note |
|
| Underlying
Balance (if any) |
|
| 2nd - Remaining
Balance (if any) |
|
What else should we know about the note, the payor,
the property?
or any additional information? |
|
|