Form1

NOTE EVALUATION FORMS

Please, tell us about yourself:

(1) First Name:

(2) Last Name:

(3) Company Name (if applicable):

(4) Full Home Address:

(5) Your Company Address (if applicable):

(6) Area Code - Telephone (daytime/home):

(7) Area Code - Fax Number (if available):

(8) E-mail address:

Property Information:

(1) Type of Property: [enter "A" for Raw Land, "B" for Developed Land, "C" for Business Property, "D" for Mobile Home with Land, "E" for House (also add correct code: (OO) Owner Occupied, (SF) Single Family, (MF) Multiple Families, (RC) Rental/Commercial)]. Examples: "EOO" (for House - Owner Occupied), "DRC" (for Mobile Home - Rental),
(2) Overall Lot/Building/Home Size (enter the appropriate number):( Acres: Sq. ft),
(3) Occupancy (enter the appropriate number): %, if applicable [for (RC) only],
(4) Average Monthly Gross Profit (in $ US): , if applicable [for (RC) only].

Sale Information:

(1) Sale date [enter mm/dd/yy]:
(2) Sale price (in $ US):
(3) Down Payment (in $ US):
(4) Financed (in $ US):

Other Information:

(1) Full address of the subject property:
(2) Appraised Tax Value (in $ US):
(3) Age of the subject property (in years):
(4) Insurance Information ("X" the appropriate box(es)):
Home Owner: , Fire: , Flood: , Other:

MORTGAGE INFORMATION


Face Amount at a time of origination	$ US
Annual Interest Rate	%
Amortization Term	Years
Amount of Monthly Payment	$ US
Date of Loan Origination	mm/dd/yy
Date of First Payment	mm/dd/yy
Number of Payments made
Due Date of the Next Payment	mm/dd/yy
Balance Due Date (or Balloon Date, if applicable)	mm/dd/yy
Type "F", if 1st, "S", if 2nd, or "W", if wraparound
Outstanding Balance on the subject note	$ US
Outstanding Balance on the 1st Lien note , if 2d Lien	$ US

Thank you!