Online Note Worksheet

Ready to discover your options?

Please provide the information below to request your free note analysis online.

You will find it helpful to have these documents handy while completing the information:

• Settlement Statement
• Mortgage (Deed of Trust, Real Estate Contract etc)
• Promissory Note, and
• Payment Record

If you have any questions or prefer to speak with someone directly, please feel free to contact us at (757) 468-6181.

Online Note Worksheet

• Name
  First Last
• Email*
• Phone
• Your Mailing Address
  Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code
• How Did You Hear About Us?
  Please Select An OptionPostcardLetterNewspaper AdEletterOnline AdReal Estate AgentAttorneyCPA or AccountantGoogle SearchYahoo SearchBing SearchOtherMillennium Mortgage
• 
  
  

• Property Information

  Please tell us about the property you are receiving payments on.
• Property Address
  Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code
• Type of Property*
  Please Select An OptionSingle Family HomeCondoTownhouse2-4 Rental Units5+ Rental UnitsDouble Wide Mobile Home With LandSingle Wide Mobile Home With LandImproved Residential LotImproved LandRaw LandCommercial PropertyBusiness Only - No Real EstateMobile Home Only - No LandOther
• Year Property Built
• Acreage
  Please Select An OptionLess Than 1 Acre1 to 5 Acres6 to 10 Acres11 to 20 AcresMore Than 20 Acres
• Property Description
• Occupancy
  • Owner Occupied
  • Rental
  • Vacant
• Current Estimated Value of Property
• 
  
  

• Note Information

  Please provide information on the Mortgage Note, Trust Deed, or Real Estate Contract.
• Sale Date/Date of Note
  Month

  Day

  Year
• Property Sale Price
• Down Payment Amount
• Original Starting Balance of Note
• Current Principal Balance of Note
• Interest Rate
• Payment Amount
• Payment Schedule
  MonthlyWeeklyQuarterlySemi-AnnuallyAnnually
• Next Payment Due Date
  Month

  Day

  Year
• Is There an "All Due" Or "Balloon Payment" Date?
  • Yes
  • No
• Balloon Payment Date
  Month

  Day

  Year
• Are Payments Current?
  • Yes - Current
  • No - Delinquent
• If Payments Are Delinquent Please Describe Payment History
• Who Collects Payments
  • Seller Collects Directly From Buyer/Payer
  • Third Party Servicer
• If Third Party Collects Payments Please Provide the Company Name, Address, and Account Number
• Is This A First Position Note?
  • Yes
  • No
• If No, Please Provide Amount of First Mortgage
• Who Makes Payments On The First Mortgage
  • Seller
  • Buyer/Payer
• 
  
  

• Additional Information

• Buyer or Payer's Credit Score
• Please Let Us Know Any Special Circumstances or Reasons for Selling the Note
• Copies of Documents
  Max. file size: 300 MB.
  It is helpful to have copies of the transaction documents to provide a more accurate note analysis. You can upload copies from your computer or fax to our office.
• Are You Providing Copies of Documents At This Time?
  • Yes - By Fax
  • Yes - Copies Included in Attached Upload
  • No - Documents Will Follow At A Later Date
• Additional Comments
• Are You Ready to Send This Online Form?*
  • Yes
  • No
  When you are ready to send the information please select "Yes" and then click on the Submit Button below.