1. Original Selling Price  

  2. Down Payment

  3. Original Note Balance

  4. Months / Years Financed          5. Interest Rate

  6. Monthly Payment               

  7. Balloon Payment?  Yes   No   If Yes, Date

      Amount of Balloon Payment

  8. Date of First Payment  

  9. Current Appraised Value

10. Current Balance

11. Owner Occupied?  Yes  No

12. Underlying Balance?  Yes  No   If Yes, Amount

13. Credit of Payer     Excellent     Good     Bad     Unknown

14. Property Type:
Single Family Residence (SFR)  Duplex  Fourplex

         

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