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Quote Request Form - Residential Property Note




Your Name :   

Address :      

City :                             State/Prov :           

Country :                                   Zip/Post. code  :    

Phone no:                                 Email :             

Property Information

Prop. Type:   

Address :         

City :                                   State/Prov :        

Country :                                    Zip/Post. code  :   

Selling Price :                             Down Payment  :   

1st Mortgage:                         2nd Mortgage :       

Owner Occupied: Title Policy :                  Appraised Val  :  


Note Information

Type :                                       Orig. Balance :            

Mortgage date:                  Term (Months/Years) : 

Mnthly pymt :                       Interest Rate:               

Balloon amt:                       Balloon date :                  

Date 1st pymt :                  # pymts made :                

# Rem. pymts :                   Next pymt. due :              

Curr. balance :         Type of purch. you are interested : 

Special Clauses              Reasons for selling :


 Payor Information


Payor name :                Address : 

Payor Credit :    


Documents Available


Could you provide copies of the following documents upon request ?


Note, Deed of Trust /Contract      Escrow Closing Statement     Title Insurance  


Current Hazard Insurance                          Payment Records       Curr. pic/apprsl  





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