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Amarillo, TX 79106

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Your Information
Name:
Address:
City:
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Email Address:
Phone Number:
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Information On Note To Sell
Address:
City:
State:
Zip:
Type Of Property:Home Mobile Home Commercial Land
Date Of Sale:
Sale Price:
Down Payment:
Original Note Balance:
Interest Rate:
Length Of Note:
Payment Amount:
Payment Amount w/ Escrow:
(if applicable)
Number Of Payments Received To Date:
Current Balance
Are there any other loans against the property?
If so, provide details:
Balloon Date:
Are Payments Current?
If not, how many delinquent: