Mortgage Note Questionnaire Form

"PAINLESS" MORTGAGE NOTE QUESTIONNAIRE FORM
Secured By Real Estate

* Indicates required field

Full Name (as on Mortgage Note Contract) *

First

Last

Email Address: *

Phone Number *

Full Address of Property Secured by Mortgage Note: *

Line 1

Line 2

City

State

Zip Code

Country

Property Type: SFR, MH/Land, Comm, Land, etc. *

Description of Property: Sq Ft, Bd, Ba, etc. *

If Mobile Home/Land: Year, make, model, DW or SW? *

If Land, Explain: Improved or Build-able Lot? *

Select One *

If "Rental": Explain Rents + Lease Expiration *

Date of Property Sale: *

Property Sale Price: *

Cash Down Payment: *

Current Market Value: *

Last appraisal Date: *

Last Appraisal $ Amount: *

First Mortgage Lien $ Amount: *

Who Holds this 1st Lien Note: *

2nd Mortgage Lien Amount, if any *

Who Holds this 2nd Note, if any: *

Underlying Liens (to be paid off): *

Mortgage Amortization (over how many months or years): *

Monthly Payment Amount (P&I): *

Fixed Interest Rate %: *

Adjustable Interest Rate %: (if any) *

Balloon $ Amount, (if any): *

Balloon Mature Date: *

Due Date of 1st Payment: *

No. of Paid Payments (to date): *

No. of Remaining Payments: *

Current Unpaid Balance: *

$ Amount Seeking: Full / Partial *

Borrowers/Payers Full Name: *

Borrowers/Payors Credit Score: *

Borrower's/Payer's Credit Scores: What is their Credit Situation? (This is Important) *

Are the P&I Monthly Payments Current and up to date? *

Any Additional Comments: (More is Better) *

Enter Validation Code (required): 556M *

Submit

mortgage_note_questionnaire.pdf
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mortgage_note_questionnaire.doc
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