MobileHomeApp

Mobile Home Note

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Contact Information
First Name:
Last Name:
Address:
City:
State:
Zip Code:	(5 digits)
Phone:
Email:
Are you personally receiving payments on this note?
If not, you are a:


Property Information
Property Value:
Payor's Credit Score:
Owner Occupied?:
How much land is part of collateral?:
Is the property located in a park?:
How many stars is the park:
How much is the space rent each month?:
Mobile home lot size:
Is the mobile home physically attached to the land:
Make of mobile home:
Model of mobile home:
Year of mobile home:
Size of Mobile Home:
Dimensions of Mobile Home (in feet):
City:
State:
Note Information
Sale Date:
Sale Price:
Down Payment:
Face Value (original amount) of note for sale:
Note Balance:
Interest Rate:
Payment Amount:
Payments are Made:
Original Term:
Type:
# Payments Made:
Date First Payment Made:
# Payments Remaining:
Next Payment Due Date:
Loan to Value:
Current or Delinquent?:
Balloon Information
Balloon Payment?:
Amount of Balloon Payment:
Balloon Payment Due Date:
Lien Information
Position of Note:
First - Remaining Balance:
Second - Remaining Balance:


Other Information
Comments:	Enter comments here