QUOTE REQUEST FORM: AMERICAN FUNDING RESOURCES ( tel: 1-321-549-8410 Eastern time ).
NOTE: To move between fields of the Form , hit your "TAB" key, rather than your "ENTER" key.
NOTE: The first 5 (*** required) fields MUST be filled in BEFORE you can submit your Request.
Thank you !

Your Full Name*** *
I am:***
Your Email Address*** *
Telephone*** ( xxx-xxx-xxxx ) *
Best Time to Contact You / AND Your Time Zone***
Your Full Address (including your State)
Why are you considering selling the Note ?
Date You Sold the Property ( mm-dd-yyyy )
Type of Security Instrument that you hold ?
Sales Price of Property
Cash Down Payment
Original Mortgage Amount
Current Mortgage Balance
Original Term of your Note ( months )
Payment Amount ( principal & interest only )
Interest Rate ( 00.000 )
Payment Frequency
1st Payment Due Date ( mm-dd-yyyy )
Next Payment Due Date ( mm-dd-yyyy )
Number of Payments made to-date ?
Number of Payments over 30 days late during the past year ?
Is the Mortgage current at this time ?
Is this a 1st or 2nd position Mtge. ?
 2nd- if "2nd", and the 2nd Mtge. you hold is NOT a Wraparound Mtge., STOP HERE ! 
Is it a Wraparound 2nd Mtge. ?
If Wrap 2nd Mtge., Balance on Senior (1st) Mtge. ?
Does your mtge. have a balloon payment ?
Original Term to Balloon ( months )
Balloon Payment Due Date ( mm-dd-yyyy )
Amount of Balloon Payment
FULL Subject Property Address
Estimated Curr. Market Value of Property
Occupancy of Property
Property Type
Property Description
Property Location
Land or Lot Size (acres or dimensions)
Comments or other information to help us
Credit Score of Payor
Payor's full Name
Payor's full Address (if subject property is not owner-occupied)
What Search Engine did you use to find us ?
What search keywords did you use ?
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