Mobile Home Notes
Please fill in ALL the blanks below. Every field is required. Please check over your work carefully before you submit your information.
Contact Information
First Name
Last Name
Email
Phone
Comments
Note Information
Payor's Credit
A - 700 & Above
B - 670
C - 630
D - 600
Below 600
Unknown
Property Value
Owner Occupied?
Yes
No
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 land?
Make of Mobile Home
Model of Mobile Home
Year of Mobile Home
Size of Mobile Home
Single Wide
Double Wide
Dimensions of Mobile Home (In feet)
Sales Date
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
-
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
-
Sales Price
Down Payment
State
Please select a state
Outside United States
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
City
Face Value of Note For Sale
Note Balance
Interest Rate
Payment Amount
Payments Made
Monthly
Quarterly
Semi Annually
Annually
Other
# of Payments Made
When 1st Payment Made
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
-
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
-
# of Payments Remaining
Next Payment Due Date
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
-
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
-
Loan to Value
Current
Current
Delinquent
Balloon Payment
Yes
No
How Much Balloon Payment
When Balloon Payment Due
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
-
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
-
Position of Note
1st
2nd
3rd
Other
1st - Remaining Balance
2nd - Remaining Balance
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