Note Worksheet

Name *

First Name

Last Name

Phone *

Country

(###)

###

####

Your Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Property Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Year Originally Acquired

MM

DD

YYYY

Sale Date of Note

MM

DD

YYYY

Date of First Payment

MM

DD

YYYY

Next Payment Due Date

MM

DD

YYYY

Date of Balloon Payment

MM

DD

YYYY

Encumbrances on the Property?

Check all that may apply.

None

Second Mortgage

Underlying Mortgage

Judgement

Lien

Best Time to Contact

Weekdays (M-F)

Weekends (S-S)

Morning

Daytime

Evening