Print this Form, Fill it out, then Fax it to Atlanta Real Estate and Mortgage Co.
(404) 351-5772

Creating a New Note

Additional Helpful Information

Your name:__________________________(w)phone__________________
(h) phone___________________________pager_____________________
Seller's Name (if different from above):_____________________________
Seller's Work Phone:___________________________________________
Borrower's Name:_____________________________________________
Property Address:_____________________________________________
Subdivision:_________________________County:__________________
Borrower Works At:___________________________________________
Borrower's Work Phone:_______________________________________
Borrower's So. Sec. #_________________________________________
Current Sales Price: $___________________________________
Estimated 1st Mortgage Balance:_______________________________
Downpayment to be Made by Buyer: ____________________________
Remaining Cash Needed (=2nd Mtg):___________________________

Terms of 2nd Mortgage (i.e. maximum amount per month buyer can afford): ____________________________________________________________
____________________________________________________________
____________________________________________________________
Other information you may know about Credit History of Borrower:
____________________________________________________________
____________________________________________________________
____________________________________________________________

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