Loan Quotation Form

If you are receiving monthly payments after having sold a house and would prefer a lump sum of cash, please fill out the following form. Then press the "Submit" button at the bottom of the page. The information will be forwarded to us for analysis. Will call you back to discuss any un-answered particulars and then make you an offer on your note.

If your note is NOT secured by real estate, please do not use this form! Your request will not be considered.

Tell us about your note!

Current Status of Note: Please select!	Payments are Current Payments are Delinquent Don't Know
Lien Position: Please select!	1st Position 2nd Position 3rd Position Other
Type of Property Securing Note: Please select!	Single-family Residence (SFR) Multi-unit Commercial Vacant Land Mobile Home Rural Other
Use of Property: Please select!	Owner-occupied Rental Long-term Lease Other
Sale Amount of Real Estate ($):
Cash Down Payment ($):
Sale Date of Real Estate:
Current Value of Real Estate ($):
Note Terms & Conditions:
Face Value of Note ($):
Current Balance of Note ($):
Note Interest Rate (annual percentage):
Gross Payment Amount (before service fees):
Net Payment Amount (after service fees):
Payment Frequency: Please select!	Monthly Quarterly Semi-annually Annually Other
Date of 1st Payment Made:
Date of Next Payment Due:
Note Term (# of months):
Number of Payments Made:
Number of Payments Remaining:
Balloon Payment, if any ($):
Balloon Payment Due Date:
Describe Underlying Liens:
1st Lien Balance, if any ($):
Current Status of 1st Lien: Please select!	Not Applicable Payments are Current Payments are Delinquent Don't Know
2nd Lien Balance, if any ($):
Current Status of 2nd Lien: Please select!	Not Applicable Payments are Current Payments are Delinquent Don't Know
3rd Lien Balance, if any ($):
Current Status of 3rd Lien: Please select!	Not Applicable Payments are Current Payments are Delinquent Don't Know
Contact Information:
Contact Person's Name:
Contact Person's Phone Number:
Address of Real Estate Securing the Note:
City & State of Real Estate Securing the Note:
Full Name of Beneficiary on Note:
Address of Beneficiary:
City, State, and Zip of Beneficiary:
I am acting in the capacity of: Please select! Principal Broker Other	Comments:
Contact Person's Email Address: Note: Your request can not be processed without your valid email address! Caution !	When completed click on "Submit"! Press the "Submit" button only ONCE! You'll receive a confirmation page within a few seconds.

Questions? Click here to send mail