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Business Note Quotation form

Please provide complete and accurate information.
All information will be held strictly confidential.

Before you apply, verify the following:

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Buyer should have very good credit

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Note should be endorsed personally (Personal Guaranty is a must even if a corp.)

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Substantial down payment (No less than 30%)

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First position

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Should be fully amortized

Seasoning is preferred but possible without any seasoning.

 PERSONAL INFORMATION (PERSON COMPLETING THIS FORM)

Note Holder/Applicant  Broker  Other:

First Name:
Last Name:
Date:
Company:
Title:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
BUSINESS NOTE WORKSHEET
* Type of Business:
Address (if available):
County:
* City:
* State:
* Zip:
* How Long in Business:
* How Long at this Location:
* Business Location Is:
Give Terms of any Lease Renewal Option(s):
* What Qualifications Does the Payor Have to Operate this Business:
* Asset Value Breakdown:
$ Equipment
$ Inventory
$ Goodwill
* Is Operation a Franchise:
If Yes, Has Franchiser Committed to Cooperate with Note Buyer in Event of Foreclosure/Resale:
If Payor is a Corporation, Is There Also a Creditworthy Individual Liable for Payments:
If Yes, Name of Individual:
HISTORICAL INFORMATION
* Date of Sale:
* Selling Price:
* Down Payment:
* First Lien:
NOTE INFORMATION
* Date of Note:
* Amount:
* Term in Months:
Balloon Term in Months (balloon)
* Payment Amount:
* Balloon Amount:
* Balloon Date:
* Interest Rate:
* Due Date 1st Payment:
* # of Payments Made:
* # of Payments Left:
* Next Payment Due:
* Balance:
DESCRIPTION OF BUSINESS/LOCATION & AREA
* Description: Tell us what you know about the sale, the business, the Payor, etc.
PAYOR/PAYMENT INFORMATION
* Employment Info, Payment Record, SSN:
MOTIVATION INFORMATION
* How Much, When, etc.
PERTINENT DOCUMENTS RECORDED?
* Note:
* Security Instrument:
* Title:
* Sales Contract:
* Payor Credit Report:
* Closing Statement:
* Bill of Sale:
* Insurance:
* Lease:
Franchise Agreement:
* UCC-1:
 Please tell us how you found us:

 If by search list keywords used:

(Companies that buy...)
 If other please explain: