Note Info Worksheet – Streamlined Submission

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Name

First Last

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Phone

Hidden

Email

Borrower Information

Name

Company Name

If Applicable

Borrower Name*

First Last

Borrower Mailing Address*

Street Address Address Line 2 City State ZIP Code

Borrower Home Phone

Borrower Work Phone

Borrower Cell Phone

Borrower Fax Number

Borrower Email*

If you don't have a borrower email address, enter Borrower@NoteServicingCenter.com.

Is this a business or consumer loan?*

Consumer
Business

Is there a co-borrower*

Yes
No

Co-Borrower Information

Co-Borrower Company Name

Company Name

Co-Borrower Name*

First Last

Co-Borrower Address*

Street Address Address Line 2 City State ZIP Code

Co-Borrower Home Phone

Co-Borrower Mobile Phone

Co-Borrower Work Phone

Co-Borrower Fax Phone

Co-Borrower Email

Property Information

Property Address*

Street Address Address Line 2 City State ZIP Code

Lender 1 Information

Does this lender have an existing account with NSC?*

Yes
No

Lender name as it appears on the note*

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Section Break

Company Name (EX Corporation, LLC, etc.)

Company Name

If Applicable

Lender 1: Name*

First Last

Lender 1 Address*

Street Address City State ZIP Code

Lender 1 Phone*

Lender 1 Email*

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Section Break

Lender 1 Amount Funded*

Dollar amount funded by this lender

Are there any additional lenders?*

Yes
No

Lender 2 Information

Does this lender have an existing account with NSC?*

Yes
No

Lender name as it appears on the note*

Hidden

Section Break

Company Name (EX Corporation, LLC, etc.)

Company Name

If Applicable

Lender 2: Name*

First Last

Lender 2 Address*

Street Address City State ZIP Code

Lender 2 Phone*

Lender 2 Email*

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Section Break

Lender 2 Amount Funded*

Dollar amount funded by this lender

Are there any additional lenders?*

Yes
No

Lender 3 Information

Does this lender have an existing account with NSC?*

Yes
No

Lender name as it appears on the note*

Hidden

Section Break

Company Name (EX Corporation, LLC, etc.)

Company Name

If Applicable

Lender 3: Name*

First Last

Lender 3 Address*

Street Address City State ZIP Code

Lender 3 Phone*

Lender 3 Email*

Hidden

Section Break

Lender 3 Amount Funded*

Dollar amount funded by this lender

Are there any additional lenders?*

Yes
No

Lender 4 Information

Does this lender have an existing account with NSC?*

Yes
No

Lender name as it appears on the note*

Hidden

Section Break

Company Name (EX Corporation, LLC, etc.)

Company Name

If Applicable

Lender 4: Name*

First Last

Lender 4 Address*

Street Address City State ZIP Code

Lender 4 Phone*

Lender 4 Email*

Hidden

Section Break

Lender 4 Amount Funded*

Dollar amount funded by this lender

File Upload

Please upload the following documents: - Copy of Note - Closing Statement - Deed of Trust/Mortgage

File*

Drop files here or

Max. file size: 20 MB.

Maximum total file upload size is 20MB

Loan Submission Fee

Price:

Non-Refundable Streamlined Processing Fee

Price:

Total

$0.00

Credit Card

Card Details

Cardholder Name

Email

This field is for validation purposes and should be left unchanged.