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To request a note quote, answer all questions related to your cash flow. Use the additional comment block to enter information known about the cash flow. Your privacy will be kept in the strictest confidence. You can also print the form complete it off line and fax it back to (509.753.3945). Or Print form and Fax it. Or go to Download forms page to print forms and fax it.


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Type of Cash Flow

Note Holder or Broker?







Property or Business Address


Value of Assets


Based On


Type property or business



Business / Owner Information





Vacant Land


Selling Price

Date of Sale


Down Payment


First Lien


Second Lien


Third lien


Prior Mortgage Info (if any)

Current Note Size

Have Note Documents?


Term(s) of Note


Payment Amount


Balloon Amount


Balloon Date


Interest Rate


First Payment or Simultaneous Closing?



# of Payments Left?



Next Payment Due


Payor's SSN and Credit?


Seller's Motivation?

Additional Comments?







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