Please fill in the information below, and we
will provide you with a quote to
purchase.Your
Name:
Company
Name:
Phone
Number:
Fax
Number:
Email
Address:
Transaction
Status: Listing
Earnest
Money
Closed
Sellers
Name:
Legal
Description or Tax ID#:
Property
Type:
Single
family
LandCommercial
Multi-Family
Mobile
Home/LandPosition:
1st.
2nd
3rd
Wrap
A
roundSale or
Est. Closing Date:
Sales
(List) Price:
$
Down
Payment:
$
Current
Note Balance:
$
Interest
Rate:
%
Payment
Amount:
$
Monthly
Quarterly
Semi-Annual
AnnualBalloons
(Dates & Amounts):
Other loans against property:
Balance:
$
Interest: %
Payment: $
Balloons (Dates & Amounts):
Immediate Cash Needs:
$
If cash needed is less than the full cash value
of the note we can offer a partial purchase
option.Authorization
To Release Information: (If your note is
paid through an Alaska bank or escrow
company.)
By giving us the following information, we can
obtain all information needed to provide you
with a Purchase Offer.
Name of Bank or Escrow Company:
Payor's Name:
Escrow Account Number:
I hereby authorize the above bank or escrow
company to release the following information
concerning my escrow account to CA$H NOW
Financial Corporation.
I confirm
this authorization by listing the last 4 digits
of my Social Security Number:
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access code.
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