Dean Butts
920-886-3592
djnoteinvesting@new.rr.com

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DJ Note Investing will help you find a buyer for your note. To begin, please fill out the following Note Analysis Worksheet as completely as possible. We will review your information and contact you soon.

Note Seller's Name : Phone :
E-Mail :
Address :
City : State : Zip :

Property Information
Property Address :
City : State : Zip :
Type of Property :
Sale Price : $ Date of Sale :
Property Value : $ Established By : Date :
1st Loan Amount : $ Monthly Pmt : $
2nd Loan Amount : $ Monthly Pmt : $
Down Payment Amount : How Long Have You Owned Sold Property? :

Note Information
Original Note Amount : $ Balance : $ As of :
Interest Rate : % Monthly Pmt : $ Date of 1st Pmt :
Original Length : months. Other :
Number of Payments Made : Number of Payments Remaining :
Day of Mo. Pmts Due : Last Pmt Made :
Balloon Payment Amount (if any) : $    Balloon Pmt Due Date :
Primary Reason for Selling Note :
            Date :
Is there anything else I should know?

Payor Information
Payor's Name :
Payor's Address :
What does the Payor do for a living?
Payor's Credit Score : Payor's Social Security # :

Mobile Home Information (if applicable)
Mobile Home Make : Model :
Year of Manufacture : Size of Mobile Home :
Is the mobile home attached to land?
How much land is included with the mobile home?

Other Questions or Comments:

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