New Mortgage Worksheet
Property Seller Information:
Seller's Name:
Phone:
Address :
City:
State:
State
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
Zip Code:
Property Payor Information:
Payor's Name:
Phone:
Current Address:
City:
State:
State
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
Zip Code:
Prior Address:
City:
State:
State
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
Zip Code:
Social Security:
Property Co-Payor Information:
Co-Payor's Name:
Phone:
Current Address :
City:
State:
State
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
Zip Code:
Prior Address :
City:
State:
State
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
Zip Code:
Social Security:
Property Information:
What is the value of the property?
$
How was the value determined? (i.e.: Tax Assessment, Realtor, Appraisal)
Date of Appraisal:
Description of the Neighborhood:
Collateral Type
(Please choose either residential, commercial OR, land)
Residential:
Does Not Apply
Single Family Residence
Mobile Home (Single-Wide) w/ Land
Mobile Home (Double-Wide) w/ Land
Condo
2-4 Units
If choice above is Mobile Home, what year was it manufactured?
Is property Owner Occupied or Rental?
Owner Occupied
Rental
Commercial:
Description of business or number of apartments:
Amount of lease/rental income:
$
Land:
Does Not Apply
Unimproved Land
Improved Land
Buildable Lot
Number of Acres:
Note Information:
Sales Price:
$
Cash Downpayment:
$
Amount to be Financed:
$
Interest Rate:
Payment Amount:
$
Payments are Made:
Monthly
Quarterly
Annually
Amortization Period:
months
If Applicable:
Balloon Due In:
months
Balloon Due Date:
Balloon Amount:
$
Your Contact Information (Needed so that we may contact you with purchase offers)
Your Name:
E-mail:
(Required
OR
tel #)
Phone Number:
(Required) )
Fax:
Address:
City:
State:
State
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
Zip Code: