Mortgage Purchasing Worksheet
SELLER'S NAME
First:
(required)
Last:
(required)
City:
State:
Select Here
Alabama
Alaska
Arizona
Arkansas
California
Canal Zone
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Island
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
TELEPHONE NUMBER
Daytime:
(required)
Evening:
Fax:
MORTGAGE PROPERTY LOCATION
City:
State:
Select Here
Alabama
Alaska
Arizona
Arkansas
California
Canal Zone
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Island
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
County:
PROPERTY TYPE:
Single Family Residence
Mobile Home with Land
Number of Bedrooms
Model:
Number of Bathrooms
Year:
(required)
Square Foot
Type:
Singlewide
Doublewide
(required)
Comments
Make:
Comments:
Triplex
Unit A
Unit B
Number of Bedrooms:
Number of Bedrooms:
Number of Bathrooms:
Number of Bathrooms:
Square Foot;
Square Foot:
Rent;
Rent;
Unit C
Number of Bedrooms:
Number of Bathrooms:
Comments:
Square Foot:
Rent:
Duplex
Unit A
Unit B
Number of Bedrooms:
Number of Bedrooms:
Number of Bathrooms:
Number of Bathrooms:
Square Foot:
Square Foot:
Rent:
Approximate Rent:
Comments:
Apartments 1-4 Units
Apartments 4 Units or more
Bedrooms Configurations:
Number of Units:
Bedrooms Configurations:
Bedrooms Configurations:
Bathrooms Configurations:
Bedrooms Configurations:
Bathrooms Configurations:
Bathrooms Configurations:
Square Foot Configurations:
Bathrooms Configurations:
Rent Per Unit:
Square Foot Configurations:
Comments:
Rent Per Unit:
Comments:
Retail Building
Strip Center
Apartments
Yes
No
Number of Units:
If Yes (how many)
Square Foot:
Retail Units
Parking Places (how many):
Square Foot:
Size of Lot (square foot of area):
Rent:
Zoning:
Comments:
Comments:
Industrial Building
Present Use:
Lot Size:
Square Foot:
Comments:
INFORMATION ON PROPERTY
Selling Price at Time of Sale:
Down Payment at Time of Sale:
Mortgage at Time of Sale (Original Amount)
1st Mortgage:
Underlying 1st Mortgage:
FHA
VA
Conventional
Property Description
Number of Bedrooms
Number of Bathrooms
Square Footage of Property
Square Footage of Lot
Comments
MORTGAGE INFORMATION
First Mortgage:
Closing Date of Mortgage:
month:
January
February
March
April
May
June
July
August
September
October
November
December
Year:
Year
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
Original Mortgage Amount:
Duration of Mortgage in Months:
Payment Amount (Principle and Interest):
Balloon Amount (if applicable):
Balloon Due Date (if applicable):
Month:
January
February
March
April
May
June
July
August
September
October
November
December
Day:
day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year:
Year
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
Interest Rate:
Date You Received First Payment:
Month:
January
February
March
April
May
June
July
August
September
October
November
December
Day:
day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year:
Year
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
Number of Payments Paid:
Number of Payments Remaining:
Next Payment Due:
Month:
January
February
March
April
May
June
July
August
September
October
November
December
Year:
Year
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
Payor Check
Was a Credit Check Run at Time of Sale?: Yes
No
Result?: Good
Bad
Paid as Agreed?: Yes
No
Jerry Remien, Chief Executive Officer
720 Bonnie Lane, Elk Grove Village, Illinois 60007
TEL 800.949.0888 FAX 847.806.0992
mb@mortgagebuyers1.com
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