Seller Financed

Seller Financed

Seller Financed Business Note Request

Owner's Name

Phone

Date

1. Original Selling Price

2. Down Payment

3. Original Note Balance

4. Months Financed

Interest Rate

5. Monthly Payment

6. Balloon

Date of Balloon

Amount of Balloon

7. Date of First Payment

Remaining Payments

8. Current Balance of Note

9. Type of Business

10. How long in Business

11. Is Business a Franchise?

If yes, Name of Franchisor

12. Credit of Payor

13. Does the business Include Real Estate?

If yes, R.E. Appraised Value

14. Location of Business

15. Is note personally guaranteed?

16. Business Description / Address / Additional Comments

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