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Type of Property
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Date First Payment Was Made
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Property Sales Price
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Downpayment
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Interest Rate
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Payment Amount
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Is the note current?
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Yes
No
If no, describe.
Is the loan fixed or a balloon payment?
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Fixed
Balloon Payment
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Property Street Address
Property City & State
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Property Zip Code
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Your Name
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Your Phone Number
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Your Street Address
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Your City, State
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Your Zip Code
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Your Email Address
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How did you hear about us?
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