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"Building Wealth Together"
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Agent Name
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Date
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MM slash DD slash YYYY
Phone
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Email
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Original Selling Price
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Down Payment
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Original Note Balance
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Months / Years Financed
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Interest Rate
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Monthly Payment
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Balloon Yes or No? If Yes, Date:
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Date of First Payment
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Current Balance
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Owner Occupied
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Yes
No
Credit of Payer
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Excellent
Good
Bad
Unknown
Property Type
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Single Family Res.
Duplex/Four-plex
Condo/Townhome
Mobile Home
Land
Land with Improvements
Property Address / Comments
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