Real Estate Note Application Seascape Capital

First Name *

Last Name *

Phone

Please enter your area code and phone number.

Email *

Property Information

Property Type *

How many years did you own the property before selling it? *

Property Street Address *

Property City *

Property State *

Property Zip Code *

Property Description (size, amenities, condition of structures, etc.) *

Current Estimated Property Value *

Date of Sale (MO / DAY / 4 DIGIT YEAR)

(Enter date as xx/xx/xxxx)

Sales Price

Cash Down Payment

Original Note Amount: *

Interest Rate

Term of Note (in years)

Payment Amount

Date of First Payment Made (MO / DAY / 4 DIGIT YEAR)

(Enter date as xx/xx/xxxx)

Number of Payments Made So Far

Number of Late Payments

Number of Remaining Payments

Is there a balloon payment?

Yes

If yes, when is it due? (MO / DAY / 4 DIGIT YEAR)

(Enter date as xx/xx/xxxx)

What is the amount of the balloon payment?

Who occupies the property?

Credit of Buyer/Borrower

Are there any loans or liens against the property?

Yes

If yes, please explain:

Other information about the property, the note, or the payer:

How did you hear about Seascape Capital?