First Name *

Last Name *

Telephone number *

Email *

Your Street or PO Box mailing address

City

State

ZIP

How did you hear about us? * Internet searchMailSocial mediaReferenceOther

Information about the property on which you are receiving payments

Property Street address *

City *

State *

ZIP *

What type of property is it? *
Single FamilyMultifamilyMobile on landCommercial

Year Built, if known

Acreage or lot size *

Is it occupied by the borrower? *
YesNoDon't know

What is the current value of the property? *

What was the sales price of the property? *

What was the date of the sale of the property? *

What was the down payment? *

What was the original balance owed? *

What is the current balance owed? *

What is the interest rate? *

What is the payment amount, not including taxes or insurance? *

What is frequency of payments (monthly, quarterly, other)? *

When is the next payment due? *

Are the payments current? *
YesNo

Is there a balloon payment that will be due? *
YesNo

Who collects the payments? *
Seller collects directly from borrowerBorrower makes payments to servicing company

Is this a first position note? *
YesNoI don't know

What is the borrower's credit score, if known?

Tell us anything else about yourself, why you're selling, about the note, the property or the borrower that is important.

Upload copies of your note, settlement statement, payment records, servicer records, valuation, etc.

Asterisk * Indicates the information is required to provide a fair market quote for the note.