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Business Note Quotation Form

Note Holder's Name
Note Holder's Email Address
Contact Phone Contact Fax

Business Note Information Worksheet

Property's Original Sales Price Down Payment
Note's Monthly Payment Note's Term
Note's Original Balance Note's Interest Rate
Note's Interest Rate is Fixed Variable  
Date of Note's First Payment Is This Note Current? Yes      No
Number of Note Payments made Payments remaining
Is there a Balloon Payment? Yes No Balloon  
If a Balloon, what is the amount? Balloon's Due Date
Note's Lien Position First Position Lien Second Position Lien  
Business's Appraised Value Appraisal Date
Is this Note secured with Real Estate? Yes       No  
Is this Note secured with Equipment? Yes       No  
Is the business location leased or owned? Leased  Owned  
Additional business Information such as the type of business, time in operation, profitability, etc.
Credit of Payor if known Excellent     Good    Fair     Poor      Unknown
Is the Note guaranteed? Yes        No
Is the Payor in the Armed Forces? Yes        No    
If "Yes", is Payor deployed? Yes        No    
Quote Type Request Entire Note Balance    Balloon Balance      Give me some options
Additional quote request information such as the amount of funds required and reason for the note sale.
Please answer the math question.   The sum of 9 + 3 =