| Are The Note Payments Current (If "No", discontinue) |
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| Note Position |
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| Your Relationship to This Note |
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| Your Title |
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| Your First and Last Name |
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| Your E-mail Address |
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| Your Phone Number (Format: XXX XXX-XXXX) |
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| Your Alternate Phone Number (Format: XXX XXX-XXXX) |
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| Your City |
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| Your State |
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| Your Time Zone |
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| Do You Have Additional Business Notes For Sale |
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| Is There Any Money Owing On the Property (Taxes, Fines, etc.) |
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| If "Yes", Amount Owing |
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| Does the Seller Need To Close By a Specific Date |
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| If "Yes", Enter the Sale Deadline (M/D/Y) |
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| Is There a Closing Statement From an Escrow Company or Attorney |
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| Is There a Security Agreement in Place |
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| Is There a Recorded UCC-1 in Place |
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| The Note is... |
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| Is This a Full Sale or a Partial Sale |
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| Date of Note Origination (M/D/Y) |
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| Original LTV Ratio of the Note |
% |
| Original Balance of the Note |
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| Current Balance of the Note |
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| Term of Note (in months) |
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| Interest Rate Charged |
% |
| Amount of Each Payment |
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| When Are the Payments Made |
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| Date the First Payment Was Received (M/D/Y) |
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| Date the Last Payment Was Received (M/D/Y) |
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| When is the Next Payment Due (M/D/Y) |
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| When is the Final Payment Due (M/D/Y) |
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| Number of Payments Already Received |
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| Number of Payments Still Remaining |
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| Number of Payments That Were Late |
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| Is a Fee Charged For Late Payments |
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| If "Yes", Amount of Late Fee |
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| Are the Payments Collected by a Loan Servicing Company |
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| Is There a Balloon Payment Due |
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| If "Yes", Amount of Balloon Payment |
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| Date of Balloon Payment (M/D/Y) |
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| D.B.A. Name of Business |
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| Type of Business (Restaurant, Garage, etc.) |
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| In Business at This Location Since (M/D/Y) |
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| The Business Location is... |
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| If Leased, Expiration Date of Lease (M/D/Y) |
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| Does the Payor Owe Any 3rd Party For the Business |
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| If "Yes", How Much is Owed |
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| Describe the Lease Terms, Include the Renewal Options |
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| Legal Status of The Business |
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| Current Estimated Value of the Business |
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| How Was This Value Determined (Realtor, Appraiser, etc.) |
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| Date The Business Was Sold (M/D/Y) |
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| Business Sale Price |
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| Amount of Down payment |
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| Asset Value Breakdown |
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| Equipment |
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| Inventory |
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| Goodwill |
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| Year Property Was Built (if known) |
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| Year Property Was Last Renovated (if known) |
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| How Tall is the Property |
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| Size of the Building Alone (in Sq. Ft.) |
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| 1st Lien Balance |
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| Interest Rate on 1st Lien |
% |
| 2nd Lien Balance |
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| Interest Rate on 2nd Lien |
% |
| Describe the Neighborhood |
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| The Property's Current Condition Is |
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| The Property Needs |
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Describe the Property in Detail:
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| Is the Payor a Corporation |
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| The Payor's Credit Rating is |
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| Payor's Credit (FICO) Score |
(3 digits) |
| Payor's Qualification to Run This Business |
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| Number of Similar Businesses Owned by the Payor |
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| What Do You Feel Is A Fair Price For Your Note? |
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