OFFICE: 317-534-0585

FAX: 317-534-0586

Note Submission

You may submit this form on-line, or print it out and fax or mail it to:

National Asset Exchange Group, LLC

Attn: Scott Pentecost

1142 Sugar Maple Dr.

Greenwood, IN 46143

Voice: 317-534-0585

Fax: 317-534-0586

 

 

SELLER/BROKER INFORMATION

* First Name:

* Last Name:

* Note Owner or Broker

  Company:

  Title:

* Address:

* City:

* State:

* Zip:

* Phone:

  Fax:

* Email:


REAL ESTATE INFORMATION

Street Address:

County:

City:

State:

Zip:

Current Estimated Value:

Based On:

Residential Type:

Occupancy:

Lien Position of Note for Sale:

 

Description of Real Estate Property and Area:


HISTORICAL INFORMATION

Date of Sale:

Selling Price:

Down Payment:

First Lien Amount:

Second Lien Amount:


NOTE INFORMATION

Date of Note:

Amount:

Payment Amount:

Term in Months:

(Amortization)  
(Balloon)

 Balloon Amount:

 Balloon Date:

Interest Rate:

Due Date 1st Payment:

 # of Payments Made:

 # of Payments Left:

 Next Payment Due:

 Balance:

PAYOR INFORMATION

Credit Score (FICO):
 


SELLER'S MOTIVATION/NEED

 Motivation/Need:

* Required Field