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***
the actual note-holder
a person with power of attorney for the note-holder
a note broker or note finder. STOP HERE !
a person PAYING on the note. STOP HERE !
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 ?
Note & Mortgage
Note & Deed of Trust
Contract for Deed
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 )
Other - please explain
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 ?
No- if "No", STOP HERE !
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
Multi-family 2-4 units
Multi-family 5+ units
Lot in subdivision
Commercial (SEE BELOW):
Auto. Parking Garage
Auto. Repair, etc.
Bed & Breakfast Inns
Hospitality. Flagged Hotel/Motel
Hospitality. Non-Flagged Hotel/Motel
Housing. Congregate Care Facilities
Housing. Mobile Home Park
Housing. Retirement Center
Indus/Warehouse. Heavy Industrial
Indus/Warehouse. Light Industrial
Medical. Assisted Living
Medical. Nursing Home
Mixed Use Properties
Office. Single Tenant
Recreation. Fitness Center
Recreation. Golf Course
Residential Condo Subdivisions
Restaurants / Bar Restaurant
Retail. Convenience Store
Retail. Free Standing
Retail. Regional Mall
Retail. Strip with Anchor
Retail. Strip without Anchor
Special Use Properties (describe)
Land or Lot Size (acres or dimensions)
Comments or other information to help us
Credit Score of Payor
Excellent 750 +
Good 700 +
Fair 650 +
Other 600 or lower
Don't know - Please fill in Payor Information below.
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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