Note Seller's Worksheet

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Personal Information

Full Name

Date

Phone #

Address

Address Cont.

City

State

Zip

Email

Property Information

Property Address

Address Cont.

City

State

Zip

What Type of Property Secures the Note?

Owner Occupied?

Lien Type?

Current Appraised/Estimated Value

Date Established

Sales Information

Sales Price

Date of Sale

Down Payment

1st Mortgage

2nd Mortgage

Note Infomation

Date of Origination

Original Note Amount

Current Balance

Term of Note

Interest Rate

Payment Amount

Date of 1st Payment

Monthly Due Date

# of Payments Made

# of Payments Remaining

Are Payments Current

Balloon Payment Amount (if any)

Balloon Due Date

Are There Any Clauses?

Seller's Information

Your Motivation for Selling

Recieved Any Other Offers?

Yes No

Amount of Other Offers

Payor's Information

Payor's Name

Payors SSN

Payor's Employment

Is There Anything Else We Should Know About This Note?