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JLP, Inc.
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Order Number
Type of Property
*
Select Property Type
--Select Property Type--
Home
Mobile Home
Commercial
Vacant Land
Other
Date First Payment Was Made
*
Property Sales Price
*
Property Down Payment Received at Time of Sale
*
Interest Rate on the Note
*
Monthly Payment Amount
*
Is the Note Delinquent
*
Yes
No
If Delinquent, how many months
Is there a Balloon Payment
*
Yes
No
Not Sure
If yes, when is the Balloon Payment Due
Property Street Address
*
Property City, State, and Zip
Your Name
*
Your Phone Number
*
Your Street Address
*
Your City,State,Zip
*
Your Email Address
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