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Please Fill this form out as completly as possible




 

Your Contact Information Required


NAME  

EMAIL  

PHONE  

ADDRESS  

CITY  

State  


Property Information

 

TYPE OF PROPERTY  

PROPERTY ADDRESS  

PROPERTY CITY  

PROPERTY STATE  

OWNER OCCUPIED Check for Yes 

SALES PRICE  

DATE OF SALE  

PROPERTY VALUE  

How was the Value Established Sale ,Bank ,Realtor

Date Property Value Was Established

  


List any Loans you have against the Property

1ST LOAN AMOUNT  

1ST LOAN MONTHLY PAYMENTS  

1ST LOAN NEW/ASSUMED  


2ND LOAN AMOUNT  

2ND LOAN MONTHLY PAYMENTS  

2ND LOAN NEW/ASSUMED  

DOWN PAYMENT  


Note Information

ORIGINAL AMOUNT  

BALANCE  

AS OF  

INTEREST RATE  

PAYMENT AMOUNT  

FIRST PAYMENT  

ORIGINAL LENGTH IN MONTHS  

TYPE  

NUMBER OF PAYMENTS MADE  

NUMBER REMAINING  

PAYMENTS MADE ON TIME? Check For Yes 

DAY OF MONTH PAYMENTS DUE  

BALLOON PAYMENT If Any 

BALLOON DUE Date 


Please List and Clauses on Balloon Payoff

BALLOON CLAUSES  


What Does The Payer Do For a Living?  

PAYERS CREDIT SCORE  


Legal Agreement

I authorize WTS Notes (Willie Sims) to disclose the above information to Note Buyers. I understand that this information will be used to determine the value of my cash flow note for the above Real-estate and I authorize WTS Notes to disclose the above information to potential buyers in its network. I Further Understand That Under Federal Laws an Electronic Contract is binding and can be inforced by the court of law.

Please Type your Name If you Agree

LEGAL AGREEMENT  

Pre Commitment Contract If you wish to Sign the Pre-Commitment Contract Then Type Your Name Below. Only Do So If You whish To Pre Commit and Recieve the Discount discribed in the Fee Schedule

PRE-COMMITMENT CONTRACT