COVER LETTER
* Tell us everything you know about the note/deal:

BROKER INFORMATION
First Name:
Last Name:
Date:
Company:
Title:
Address:
City:
State:	Please select a state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New England New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip:
Phone:
Fax:
Email:

BUSINESS NOTE WORKSHEET
* Type of Business:
Address (if available):
County:
* City:
* State:	Please select a state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New England New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
* Zip:
* How Long in Business:
* How Long at this Location:
* Business Location Is:	Owned by Payor Leased by Payor
Give Terms of any Lease Renewal Option(s):
* What Qualifications Does the Payor Have to Operate this Business:
* Asset Value Breakdown:	$ Equipment $ Inventory $ Goodwill
* Is Operation a Franchise:	Yes No
If Yes, Has Franchiser Committed to Cooperate with Note Buyer in Event of Foreclosure/Resale:	Yes No
If Payor is a Corporation, Is There Also a Creditworthy Individual Liable for Payments:	Yes No
If Yes, Name of Individual:

HISTORICAL INFORMATION
* Date of Sale:
* Selling Price:
* Down Payment:
* First Lien:

NOTE INFORMATION
* Date of Note:
* Amount:
* Term in Months:	(amortization) (balloon)
* Payment Amount:
* Balloon Amount:
* Balloon Date:
* Interest Rate:
* Due Date 1st Payment:
* # of Payments Made:
* # of Payments Left:
* Next Payment Due:
* Balance:

 

DESCRIPTION OF BUSINESS/LOCATION & AREA
* Description: Tell us what you know about the sale, the business, the Payor, etc.

PAYOR/PAYMENT INFORMATION
* Employment Info, Payment Record, SSN:

MOTIVATION INFORMATION
* How Much, When, etc.

PERTINENT DOCUMENTS RECORDED?
* Note:	Yes   No
* Security Instrument:	Yes   No
* Title:	Yes   No
* Sales Contract:	Yes   No
* Payor Credit Report:	Yes   No
* Closing Statement:	Yes   No
* Bill of Sale:	Yes   No
* Insurance:	Yes   No
* Lease:	Yes   No
Franchise Agreement:	Yes   No
* UCC-1:	Yes   No

    

* Required Field

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