First name*

Last name*

Your email*

Phone number*

Company name

Your Title

Business Name

Business Address

Type of Business

Business Operating as Franchise*

Yes

No

Gross Annual Income*

Annual Business Expenses*

Net Operating Income*

Total Dollar Value of All Business Assets*

How Long in Business*

How Long at Location*

Business Location Is?*

Owned by Borrower

Leased by Borrower

I don't know

Terms of Lease Renewal Option(s)

Date of Sale*

Sales Price*

Down Payment*

Original Note Amount*

Position of Note*

1st

2nd

Other

Current Note Balance Owed*

Interest Rate*

Payment Amount*

Original Length*

First Payment Date*

No. of Payments Made*

No. of Payments Remaining*

Next Payment Due Date*

Are the Payments on Time*

Yes

No

Was There a U.C.C. Filed & Recorded*

Yes

No

I don't know

Balloon Payment Amount

Balloon Due Date

Borrower Type*

Private Individual

Corporates Entity

Trust

Other

Borrower Name

There a Personal Guarantee*

Yes

No

I don't Know

Pull Credit on Borrower at the Time of Sale*

Yes

No

Borrower Credit Rating (skip if checked "no")

Additional Comments on Transaction or Collateral

No Obligation Submission: Get Your Cash Offer Quote Now

No Obligation Submission: Get Your Cash Offer Quote Now

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