A Funding Solution, Inc.



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Secure Online Mortgage Quote Sheet

If you hold a note for a mortgage, a deed of trust or a land contract and would prefer a cash lump sum, then complete the following form for a confidential quote.  
Email to us by clicking on the submit button below or print form and mail to:
A Funding Solution, 466 Orange Street #344, Redlands, CA 92374.
If you would like to furnish this information by phone, call A Funding Solution:
(800) 587-4487 or (909) 307-6177; fax (909) 307-6155.

Applicant Information
First Name
Last Name
Address
City
Zip Code (5 digits)
State
Co-Applicant Information
First Name
Last Name
Contact Information
Daytime Phone
Evening Phone
Mobile Phone
Fax

Email

Date of Request
Financial Information
Original Selling Price (USD)
Down Payment
Original Note Balance
Interest Rate
Monthly Payment
Months/Years Financed
If Balloon Payment, Date & Amount
Date of First Payment
Remaining Payments
Current Balance
Are all payments current?
Amount of Any Underlying Balance  
Property Information
Property Type
Occupancy
Current Appraised Value (USD)
Is there a Title Policy?
Credit of Payor - Excellent,
Good, Bad, Unknown
Deed of Trust, Mortgage, Land Contract or
Contract for Deed?
Other Information
Property Description
Location
Comments
I authorize A Funding Solution, Inc. to verify
my credit and employment history.

            A Funding Solution Could Be Your Solution 
              466 Orange St. #344, Redlands, CA 92374

Attention CPAs, Attorneys, Business Brokers:
     Do you know of people who could benefit from turning their cash flow from notes, mortgages or structured settlements into a lump sum payment?
     A Funding Solution could be the solution.
Call (800) 587-4487
email Lalani@AFundingSolution.com

            A Funding Solution
      Could Be Your Solution.

   Call or email A Funding Solution if you would like to obtain a quote of any of our other product lines which include business notes, personal injury awards, lottery winnings, and structured court settlements.

   A Funding Solution is associated with funding sources who have numerous programs that can help you with your immediate cash needs.

   If you are receiving payments and would prefer a cash lump sum, please call us today for a free
no-obligation evaluation
of your note or payment stream.

(800) 587-4487 

Remember -
A Funding Solution
Could Be
Your Solution

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