| CONTACT INFORMATION |
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TCF Locator ID Number (if applicable) |
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TCF Locator Name (if applicable) |
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TCF Locator Email Address (if applicable) |
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The person completing this form is |
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Note seller's first & last name |
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Note seller's address including city, state and ZIP |
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Note seller's email address |
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Note seller's home phone |
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Note seller's work phone |
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Note seller's cell phone |
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Best time to contact you (if you have a preference) |
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Are you personally receiving payments on this note? |
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| BUSINESS
INFORMATION |
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Exact
Name of Business
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Type
of Business (Give Description)
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Business
Street Address (MUST include City, State & ZIP)
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Asset
Value Breakdown - Equipment:
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Asset
Value Breakdown - Inventory:
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Asset
Value Breakdown - Goodwill:
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Is
Operation A Franchise?
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If
Yes, Has Franchiser Committed to Cooperate with Note Buyer in
Event of Foreclosure/Resale:
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How
Long In Business?
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How
Long At This Location?
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Business
Location Is
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If
Leased, Lease Expiration Date
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Give
Terms of Any Lease Renewal Option(s)
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Is
Payor A Corporation?
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If
Payor is a Corporation, Is There Also a Creditworthy Individual
Liable for Payments?
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If
Yes, Name of Individual
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If Payor is a Corporation, Is There a Personal Guaranty?
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Is
The Note Secured By Any Real Estate?
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If
Yes, Give Full Description of Real Estate
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| HISTORICAL
INFORMATION |
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Date
of Sale
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Selling
Price
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Down
Payment
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First
Lien Amount
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Second
Lien Amount
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| NOTE
INFORMATION |
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Date
of Note
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Face
Amount of Note
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Term
in Months
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Payment
Amount
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Balloon
Amount
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Date
of Balloon
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Interest
Rate
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Due
Date of 1st Payment
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#
of Payments Made
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#
of Payments Remaining
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Next
Payment Due Date
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Note
Balance
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| DESCRIPTION
OF BUSINESS / LOCATION & AREA |
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Tell
us what you know about the sale, the business, the Payor, etc.
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| PAYOR
INFORMATION |
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Previous
Employment Info, Payment Record, SSN, etc.
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Qualifications
of Payor To Operate This Business
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Payor's
Credit Score At Time of Sale
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Do
You Have A Credit Report on Payor?
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| MOTIVATION
OF THE NOTE SELLER |
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Why
Are You Selling This Note? How Much Cash Do You Need? For What?
And When Do You Need It By? (This helps us to
determine if a full or partial purchase would best meet your
needs.)
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| OTHER
COMMENTS |
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Any Additional Information You Think We Should Know
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We may request any/all of these
documents before we are able to provide a quote, so please be prepared to provide:
- Copy
of Promissory Note
- Copy
of Security Agreement
- Copy
of latest annual business tax return
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