AmeriFunds - More for your Future

Obtain A Quote:
	Mortgage Notes
	Commercial Notes
	Land Notes
	Partial Purchases

Note Brokers:
	Buying Parameters

Land Notes

Please complete the form as completely and accurately as
possible to ensure a timely and accurate Quote

You may also fax the information to 480-296-0136.

Contact Name
Phone
Fax Number
Email
Date of Sale
Original Selling Price
Down Payment
Original Note Balance
Date of Note
Months / Years Financed
Interest Rate
Monthly Payment
Is there a Balloon?	Yes No
if yes, Date
Amount
Date of First payment
Remaining Payments
Next Payment due
Current Balance
Credit Score of Payer
Security Agreement
Improved?	Yes No
Zoning	Commercial Residential Other
Location of Land
City, State
County
Additional Comments

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