Note Application - First Capital Legal Funding

Sell Mortgage & Business Notes

Mortgage & Business Note Application

Please complete all fields below. Your information is protected with SSL encryption and kept strictly confidential. A funding specialist will review your note application and contact you within 24 hours.

Mortgage & Business Note Application

Mortgage Note & Business Note Application

Complete all information relevant to your note and in full for best quote.

What Type of Note Are You Selling?

Personal Information

Please provide your personal contact information below.

First Name

Last Name

Date of Birth

Best Time To Call

Note Information

Please provide details about the note you are looking to sell.

Remaining Balance on Note

Interest Rate

Remaining Term of Note

Monthly Payment Amount

Date of Last Payment Received

Enter Number or Percent of Payments you want to Sell?

Original Note Amount

Date Note Was Created

How Often Do You Receive Payments?

Is the Buyer/Borrower Current on Payments?

Do You Want to Sell All or Part of Your Note?

How Much Lump Sum Cash Do You Need?

Mortgage Note Information

Please complete this section if you are selling a Mortgage Note. Skip this section if you are selling a Business Note.

Property Address

Estimated Property Value

First Mortgage Balance (if applicable)

Is the Property Currently Occupied?

Has the Title Been Insured?

Property Type

Is This a First Mortgage on the Property?

Property Condition

Borrower Name

Business Note Information

Please complete this section if you are selling a Business Note. Skip this section if you are selling a Mortgage Note.

Business Name

Business Sale Price

Buyers Name

Is the Note Secured by Collateral?

Has the Buyer Ever Defaulted or Been Late?

Type of Business

Date of Business Sale

Is the Business Still Operating?

Description of Collateral

Additional Information & Certification

Please review your application carefully before submitting.

How Did You Find Us?

Additional Comments or Questions

Certification: I certify that all information provided is true and accurate to the best of my knowledge. I authorize First Capital, it's funding sources, agents and/or assigns to contact me regarding my application and note purchase inquiry. My typed name in the space below is my Electronic Signature.

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