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"Building Wealth Together"
The Perfect Home Based Business Opportunity
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Agent Name
*
Date
*
MM slash DD slash YYYY
Phone
*
Email
*
Business Information
Type of Business
*
How long in business?
*
Is operation a Franchise?
*
Yes
No
Is the note personally guaranteed?
*
Yes
No
Business location leased?
*
Yes
No
Business Name
*
Street Address of Business
*
City/State
*
Note Information
Sell Price of Business
*
Down Payment
*
Original Note Balance
*
Months Financed
*
Interest Rate on Note
*
Date of First Payment
*
Monthly Payment Amount
*
Number of Payments Remaining
*
Balloon Payment
*
Yes
No
Current Balance of Note
*
Credit of Payer
*
Excellent
Good
Marginal
Bad
Unknown
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