ImmediateCash.com

Please Provide As Much Of The Applicable Information As You Can For A Free No-Obligation Quote:

Your Information
Your Name:	Phone:	Fax:
E-Mail Address -- Important!
Seller Information
Seller Name:
Address:
Home Phone:	Work Phone:
Property and Lien Type (Multiple selections allowed)
Property Location:
First Lien, Mortgage, Trust Deed	Owner Occupied	Non-Owner Occupied
Second Lien, Mortgage, Trust Deed	Single Family	Multi-Family
Land Contract	Duplex	Commercial Income
Wrap Lien	Triplex - Fourplex	Land (Only)
Direct (Non-Purchase-Money)	Mobile Home Affixed	Farm Or Ranch
Other	Rural	City
If Property Is A Mobile Home Affixed to Land
Year:	Doublewide? Yes/No	Dimensions
Value
Current Appraisal-Estimated Value: How was this obtained? -- Appraisal, Realtor, Comparables, Etc.
Sales Information
Sales Price: $		Date:
Cash Down Payment: $	First Mortgage: $	Second Mortgage: $
Terms Of Note For Sale
Date of Origination:	Face Amount: $	Term (Months):
Payment: $	Balloon Term:	Current Balance: $
Original Loan to Value Ratio:	Current Loan To Value Ratio:
Interest Rate:	Balloon Amount: $	First Payment Due Date:
Next Payment Due Date:	# Payments Made:	# Payments Remaining:
Are payments current within last 12 months? Yes No	Any known credit problems? Yes No	If so, Please Explain:
*Terms Of Underlying Note (If One Exists)*
Date of Origination:	Face Amount: $	Term (Months):
Balloon Term:	Current Balance: $	Interest Rate:
Original Loan to Value Ratio:	Current Loan to Value Ratio:
Payment Amount: $	Balloon Amount: $	First Payment Due Date:
Next Payment Due Date:	# Payments Made:	# Payments Remaining:
Name of Note Holder:
Comments

Creative Investment Group, Inc.
Phone: 1-800-843-1111 | Fax: 1-800-463-9543
Pager/Voice Mail: 1-800-477-2239
Email: Info@ImmediateCash.com