Clayton & Associates

BUSINESS NOTE WORKSHEET
BROKER INFORMATION
BROKER NAME		PHONE
MAILING ADDRESS		CITY
STATE		ZIP
NOTE HOLDER INFORMATION
NAME		PHONE
MAILING ADDRESS		CITY
STATE		ZIP
BUSINESS INFORMATION
TYPE OF BUSINESS
LOCATION ADDRESS
CITY
STATE
ZIP
DESCRIPTION OF BUSINESS LOCATION
HOW LONG IS BUSINESS AT THIS LOCATION
HOW LONG DID SELLER OWN IT?
IS THERE ANY OPERATION AT FRANCHISE	YES NO
IF THERE IS A CORPORATION?	YES NO
IS THERE A CREDITWORTY INDIVISUAL LIABLE FOR PAYMENTS?	YES NO

NAME
DATE OF SALE
NOTE POSITION
SALE PRICE $
CUREENT BALANCE $
DOWN PAYMENT $
INIEREST RATE
ORIGIANL BALANCE $
PAYMENT AMOUNT $
FIRST PAYMENT DUE
PAYMENT FREQTENCY
ORIGINAL TERM
NEXT PAYMENT DUE
# PAYMENT MODE
BALLON PAYMENT DUE
PAYMENTS REMAINING
BALLON AMOUNTS $
COMMENTS
QUOTE
FOR TOTAL PURCHASE $		$
FOR		PAYMENTS
DATE OF QUOTE		BY