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About you

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Your name *

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What are you selling?

For a real estate note. For other payment types, use the comments box at the bottom.

Original selling price

Down payment

Original note balance

Months or years financed

Interest rate

Monthly payment

Date of first payment

Current balance

Balloon payment? If yes, when?

Owner occupied?

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Credit of the person paying you

Property type

Property state

Property address and comments