MORTGAGE NOTE QUESTIONNAIRE -------------
-------------- MORTGAGE NOTE QUESTIONNAIRE -------------
(Please Print Clearly)
Sellers Name: ___________________________________ Phone #: ____________________
Sellers Mail Address: __________________________________________________________
City: ___________________________________ State: _________ Zip: ______________
Sellers Email Address: _________________________________________________________
Property Type: ______________________________ Owner Occupied: ___ Yes ___ No
Size: ____________________ sq. ft.___________ bedrooms_______ baths_______
If Mobile Home (year built, make, model, double or single wide, size, condition, etc.)
_____________________________________________________________________________
If Mobile Home (with or with out land): ____________________________________________
If Land (raw, improved or build-able lot): ___________________________________________
Other: _______________________________________________________________________
Mtg. Note Property Address: _____________________________________________________
City: ______________________________________ State: _______ Zip: ______________
Date of Sale: ______________
Last Sale Price: $___________________ Cash Down Payment: $______________________
Current Estimated Fair Market Value of Property: $___________________________________
Last Appraisal Date ____________ Last Appraisal Amount $_______________________
1st Mortgage - Original Amount of Note: $__________________________________________
Who holds this Note: ___________________________________________________________
2nd Mortgage - Original Amount of Note: $__________________________________________
Who holds this Note: ____________________________________________________________
Underlying Liens: $_______________________ (to be paid off in proceeds)
Terms of Mortgage - (amortization) # of Months:_____________; Or # of Years:____________
Other _________________________________________________________________________
Principal & Interest Payment Amount: $______________/per month; /per_____________
Interest Rate: %__________ Fixed _____ Adjustable Rate: _________________________
Balloon Amount: $ ___________________ Balloon Date: _______________________
Due Date 1st Payment: ___________________ Number Payments Paid: _______________
Current Balance: (if not known - or we will calculate) $_________________________________
Are the Property Taxes and Insurance Escrowed each month? Yes/No _____________________
If so, what are the added payments? _________________ Total Payments $________________
Amount You Need: $_____________ Full Amount $_________ Partial Amount $__________
Payors/Buyers Name _____________________________________________________________
Address ________________________________________________________________________
_______________________________________________________________________________
Buyers Soc Sec # _______________________ (must have later for credit check)
Are the Payments Current? ______Yes ______No
If no, explain: ___________________________________________________________________
Payor's Credit Score (important to know the payor’s credit worthiness):
Need your best estimate, Please______________________________________________________
Have the payments been made on time? ______ Yes _____ No Explain: __________________
Additional Comments:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Free Evaluation, No Obligation...
Tel: 1-707-864-3945 Fax: 1-707-864-3945 (Plz Call 1st)
Mail: C/o Gene Horton American Funding 4945 Orinda Way, Fairfield, CA 94534
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