Specialty Funding Group | Financial Solution for Distressed Cashflows

Your Name :

Day Phone :

Alternate Phone :

Email :

Mailing address :

City :

State :

Zip :

Date note created :

Loan Position :

Original Amount :

Current Balance :

Interest rate :

Original Term (in months) :

Payment amount :

Balloon amount (if any) :

Balloon due date (if applicable) :

Date first payment made :

Number of payments paid :

Number of payments left :

Next payment due date :

Status :

Payor’s Credit :

Payments are made :

Approximate Amount Due on the First (if any) :

City :

State :

Current estimated
value the property :

Is this an official
appraised value :

Purchase Date :

Sale Price :

Down Payment :

Type of Property :

Use :

Occupancy :

Property & Area Description :

Explain the problems that you have had with the note payor :

How did you hear about us ?

How did you find our website ?

What keywords did you
use to find our site ?

Additional Comments about the Reason for the Delinquency :