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


BROKER INFORMATION
* First Name:
 
* Last Name:
 
* Date:
 
* Company:
 
Title:
* Address:
 
* City:
 
* State:
 
* Zip:
 
* Phone:
 
Fax:
 
* Email:
 


REAL ESTATE INFORMATION
* Street Address:
 
* County:
 
* City:
 
* State:
 
* Zip:
 
* Current Estimated Value:
 
* Based On:
 
Residential:
  Single-family
  Multi-family
  Owner Occupied
  Rental
Commercial:
Description:

  Owner-occupied
  Rental

* Description of Real Estate Property and Area:
 


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


NOTE INFORMATION
* Date of Note:
 
* Amount:
 
* Term in Months:
  (amortization)
  (balloon)
* Balloon Amount:
 
* Balloon Date:
 
* Interest Rate:
 

* Payment Amount: 

 
* Due Date 1st Payment:
 
* # of Payments Made:
 
* # of Payments Left:
 
* Next Payment Due:
 
* Balance:
 

 

PRIOR MORTGAGE INFORMATION (if any)
Prior mortgage info:


PAYOR INFORMATION
* Employment info, payment history, SSN:
 


SELLER'S MOTIVATION/NEED
* Motivation/Need:
 


I HAVE COPIES OF THE FOLLOWING

* 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
* Prior Mortgage Info:
  Yes
  No
* Payment History:
  Yes
  No

   

* Required Field

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3605 N. 68th Street / Scottsdale, AZ 85251 / ph: (602) 370-5670 / fx: (602) 532-7533 / email:
info@nationalcapitalcorp.com