Liberty Capital
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Contact Information  
         
I am the note:
   
First Name *

Last Name *

 
Address

City

 
State

Zip Code

 
E-Mail *
   
 
Phone*
( )

Fax

( )
Payor (s)  Information
         
First Name 
Last Name 
 
Credit
Credit Score
 
SSN
         
Property Information
         
 
Address
  City
 
State
  Zip Code
 
Property Type
  MH Legally Fixed? Yes No
  If Land, # of Acres
  Land Improvements
 
Occupied By
 
 
Sales Price
$
  Date Of Sale   mm/dd/yy
  Down Payment $
  Estimated Value $
  Value Arrived By  
  Payment History  
  Date of 1st Pay   mm/dd//yy
 
Date of Next Pay
  mm/dd/yy
 
Please provide any additional comments on the
property that will aid in the sale of your mortgage note.

If Commercial Property describe monthly cash flow
and age of buildings.
         
Mortgage Note Information
         
 
This Note is a
 
  1st  Mtg Amount $
  2nd Mtg Amount $
 
Original Balance
$
  Term (months)   
  Payment Amount $
 
Interest Rate
   %
  Current Balance $
 
Payments Left
   
  Balloon Payment? Yes No
Balloon Amount
$
 
Balloon Date Due
    mm/dd/yy
         
Comments 
         
 
Why Are You Selling?
(This helps us understand your needs.)
 
  Comments or Questions?  
 
If not selling your whole note, how
much cash do you need ?
$

  
 
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