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Unformatted text preview: Private Money Request
Part I: Lender Information
1. Lender’s Name and Address: 2. Payment Address:
3. Date: 4. Estimated Closing Date: 5. Signature of Lender: Part II: Borrower Information
6. Borrower’s Name and Address:
7. Borrower’s Phone Number: 8. Borrower’s E-mail Address: Part III: Property Information
9. Property Address:
County: Part IV: Loan Information
10. Loan Amount: 11. Interest Rate: 12. Term: 13. Monthly Payment Amount: years months 14. First Payment Date: 15. Type of Loan (check all that apply): Secured Unsecured Interest-only 16. Personal Guarantor: Yes No Balloon
17. Name of Guarantor: Part V: Special Instructions
Please note that special instructions may require additional drafting, which may incur additional
attorney’s fees to close this loan. You will be advised of any such costs prior to closing. ** ALL FUNDS MUST BE RECEIVED BY THIS OFFICE IN CERTIFIED FORM
AT LEAST 24 HOURS PRIOR TO CLOSING ** Copyright 2005 Auto Pilot™ Systems, Inc. Private Money Request ...
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- Spring '12