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If you are currently holding a note and would like to sell it or would like a quote about how much your note is worth, please fill out the following form. You are under no obligation to sell your note or accept our offec by filling out this quote. All the information on this form is necessary in order to give you a complete and accurate quote.

All information submitted here is entirely confidential and will not be used for any other purpose than to prepare your quote.



Personal Information
First  
Name:		 Last  
Name:
Address:
City State: Zip:
Phone #: Fax #:
Email:
Property Information
Address of Real Estate:
City State: Zip:
Current Estimated Value: Estimate
Based On:
What type of property is this?:
Owner-Occupied
Rental
Investment Property
Description of Real Estate Property & Area: (# of bed/bath, sq ft., type of lot, etc.)
Sale Information
Date of Sale: Buyer's Name:
Info about Buyer that may be important (Employment info, payment history):
Selling Price: Down payment:
1st Mortgage: 2nd Mortgage:
Prior Mortgage Info(if any):
Note Information
Date of Note: Original
Note Amount:		 $
Term in Months: Interest Rate: %
Payment Amount: 1st Payment Due Date:
# of Payments Made:
# of Payments Left:
Balloon Amount (if none then 0): Balloon date:
Date of Next Payment: Balance:
Please briefly describe why you wish to sell your note and/or how much money you need:



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Info@colonialblue.com
PO BOx 60972 : Pasadena, CA : 91116-6972
tel 626.905.2583 : fax 626.795.2885