Business Note Form

M & M Funding Solutions

"Cash in your hand, not in the mail"





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APPLICATION


*Your Name
*Phone
*Type of Business Sold
*Equipment Value
*Inventory Value
Goodwill
*Is Operation A Franchise?
If Yes, Has Franchisor Approved Buyer?
*Street Address of Business
*City
*State
*Zip Code
*County
*How Long Business at this Location?
*Business Location is Owned or Leased By Payor?
If Leased When Does it Expire?
Give Terms of Lease Renewal Options
*What Business Qualifications Does The Payor Have?
*Is the Individual Liable for Payments Creditworthy
*Date of Sale
*Selling Price
*Down Payment
*1st Lien
*2nd Lien, If Any
*Date of Note
*Original Amount of Note
*How Many Months was the Note For
*Monthly Payment Amount
*Balloon Amount, If any
*Balloon Date
*Interest Rate
*Due Date 1st Payment
*Number of Payments Paid
*Number of Payments Left
*Next Payment Due
Balance of Note
Please Describe the Location & Area of the Busines
Info. on Payor,Employment,Pay Record.S.S. #,etc.
Why do You Want to Some or All of Your Note?
*How Much Cash do You Need?
*When Do You Need It?
Comments
	* Denotes a required field