Please Fill out the form below and fax it to us at 856-795-8817. This form lists the information which we will need to quote. If you wish, you can print it out for review in advance of your call. Today's date ______/_______ /_______ Your name _______________________________________ Phone #: Home ___________________ Work: _________________ Best time to reach you: _________________________________ E-mail address _________________________________________ Is note residential, commercial or land? _____________ If Residential, Is it ____ single family ____ multi family If single-family residential, is it ___owner occupied? ____ rental If multi-family, it contains _______ units. If commercial, state type (store, office building, etc) ________________________________________________________________ Address of property: Street _____________________________________________________ City/State/Zip _____________________________________________ Give a short description of the property: (Example: 3 bedroom, 2 baths, Frame construction, 1-1/2 car garage, 1/2 acre lot, etc.) __________________________________________________________ _______ __________________________________________________________ _______ __________________________________________________________ _______ Do you have an appraisal? _____ If YES, amount $________________ Date of appraisal______/______ /______ Approximate year built ___________ Is this a Mortgage, Trust Deed, or Land Contract? ___________________ Date of property sale ______/_______ /_______ Selling price of property $_________________ Original amount of mortage $_________________ 1st or 2nd position note? _______ Original date of mortgage ______/_______ /_______ Date first payment was received ______/_______ /_______ Date next payment is due ______/_______ /_______ Amount of Cash down payment $_______________ Original term of note: ________ years Payments are received _____ monthly or ____________________ Payment amount $ ________________ Annual interest rate _________% It balloons after _______ years Do you have a credit score on the payor? _____ (Y/N) If YES, what is it? (credit rating number) ____________ Have all payments been made on time? ______ (Y/N) If NO, please explain: ________________________________________________________________ ________________________________________________________________ Present balance $ ________________ If balloon, amount $ ________________ Balloon date ______ /_______ /_____ # of payments made _____ # of payments left _____ Additional credit information: _________________________________________________________________ _________________________________________________________________ |
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