Mortgage Note Application — Real estate mortgage note buyer!

First Name *

Last Name *

Email Address *

Phone Number *

Property Type *

How many years did you own the property before selling it? *

Property Street Address *

Property City *

Property ZIP Code

Property State

Property Description (size, amenities, condition of structures, etc.) *

Current Estimated Property Value *

Date of Sale

Sales Price

Cash Down Payment

Original Note Amount *

Interest Rate

Term of Note (in years)

Payment Amount

Date of First Payment

Number of Payments Made So Far

Current Balance on Note

Number of Late Payments

Is there a balloon payment?

Yes

No

Number of Remaining Payments

Who occupies the property?

Credit of Buyer/Borrower

Are there any loans or liens against the property?

Yes

No

Other information about the property, the note, or the payer:

How did you hear about Seascape Capital?

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