Note Information Worksheet - Note Servicing Center

"*" indicates required fields

Step 1 of 2

50%

Contact Info

Your Name

First Last

Your Phone

Your Best Email

Your Relationship to this transaction

Have you or another servicer ever received payments from the borrower?

Yes

Was this note newly Originated or Purchased after payments were made?*

Originated

Purchased

You have selected that you have purchased this note after it had been originated. You will be asked for information for each assignment in the history of this loan. A copy of the assignment of the deed of trust, or mortgage, and the endorsement of the note or allonge will be requested for each assignment. Please have this information and copies of these documents. If you do not have a copy of the assignment of the deed of trust or mortgage Note Servicing Center can have copies of these documents pulled from the county recorder’s office, the cost for this service is $100.00 per document.

Specify Type of Loan*

Simple Loan

Fractionated/Multi Lender

Tax and/or insurance collection

AITD/WRAP/Underlying Financing in place

Do you have statements from ALL insurance policies we need to pay through the impounds?

Yes

STOP! We are not able to research insurance policies. Please resubmit the loan once you have all insurance policies, or submit the loan as a non-impounded transaction. NOTE: You can add impounds after the loan has been setup.

Do you have have statements from ALL tax entities we need to pay through impounds?

Yes

STOP! We are not able to research taxes and submission. Please resubmit the loan once you have all statements from all tax entities.

Simple loan = one borrower one lender
Fractionated loan/multi Lender = more than one lender
Tax and/or insurance collection = impound/escrow collection
AITD/WRAP/Underlying Financing in place = underlying lender (Chase, Wells Fargo Citi bank etc.)
Non-Performing (greater than 30 days late) = borrower is greater than 30 days late on payments to current servicer

You have checked the Simple Loan, loan type. This means you have only one lender, and you do not want Note Servicing Center to make payment on Taxes and/or insurance, and you have only one lender on this loan. If this is not the case please deselect this option and choose the correct options for your loan. Additional fees will be applied to your loan setup if changes are to be made after this form is submitted.

You have checked the Fractionated/Multi-Lender loan type. The information on each lender will be requested later in this form, including the name, address, phone number, email address, and funding information for each lender. Please have this information ready

You have checked the Tax and/or insurance collection loan type. A copy of the statement will be required, if you do not have a copy of your statement additional fees will be applied to your setup.

If this is not the case, please deselect this option and choose the correct options for your loan. Additional fees will be applied to your loan setup if changes are to be made after this form is submitted.

Was a check collected at close for the initial impound account setup?*

YES

This is the amount needed to pay the first installment of taxes and insurance

Please send these funds to our office by mail made payable to Note Servicing Center:

Note Servicing Center

Attn: New Accounts

3275 E Robertson Blvd., Ste. B

Chowchilla, CA 93610

Or contact our office for wire instructions at 559-665-3456

The aggregate analysis will determine the initial amount needed as well as the amount added to the monthly payments. By checking this box, you certify that you fully agree and understand this analysis is a service we offer for the amount of $100.00 and must be paid in full before the analysis is run. In the event we do not receive the initial impound funds I understand that setup will proceed without impounds added and the $100.00 charge is non-refundable.

Verification*

By checking this box I certify I understand the following:

You have checked the AITD/WRAP/Underlying Financing in place loan type. Please have the following information for each of the payees we are to pay as you will be asked for this information later in the form: name, payment address, phone number, and payment amount. If you have a copy of a recent bill this will also be requested from you at the time you input this information on the form.

Are the taxes and insurance paid by the underlying lender?*

Yes

Do you want to add Tax Service?

Yes

Loan Amortization Type

Did the owner provide financing for this transaction?*

Yes

(aka seller financing/owner financing)

Who will be paying the per payment servicing fee?*

Lender

Borrower

Split 50/50 Between Lender and Borrower

If the lender is not paying the per payment servicing fee and this was not agreed to in the note, additional documentation will be required to setup this loan.

Has the loan ever been modified?*

Yes

How many times?*

Because the loan has been modified you will be required to upload a copy of each modification.

You will be asked to supply all support documents at the end of this form.

Borrower Information

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 [email protected]

Is there a co-borrower*

Yes

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

Loan Information

Loan Priority

Loan Funding Date*

MM slash DD slash YYYY

Closing Date*

MM slash DD slash YYYY

Closing Date of Loan Origination*

MM slash DD slash YYYY

This is the original date that the loan closed escrow. If you purchased this loan after closing, this is NOT the date you purchased it.

Loan First Payment Due Date (Must be after closing date)*

MM slash DD slash YYYY

The date from which interest accrues (usually on your closing statement or the last payment paid)*

MM slash DD slash YYYY

Next Payment Due Date*

MM slash DD slash YYYY

Hidden

Is the Next Payment Due date more than 30 days ago? (e.g. is the payment more than 30 days late)

Yes

Is the borrower in bankruptcy?*

Yes

Loan Maturity Date (must be later than Next Payment Due Date)*

Month

Day

Year

Note Interest rate (Ex: 8.0)*

Do not enter the % symbol - number and decimal points only.

Does this note have a Sold Rate? (This will not apply to most Lenders/Investors)

YES

Also know as Servicing Fee, Yield Spread Premium, or Interest Spread

Because you have selected yes our office will request at the end of this web form documentation reflecting this executed by the lender(s)

Note Sold Rate*

Name of entity receiving Sold Rate*

Payment Frequency

Loan Purpose*

Consumer

Business

Original Principal Balance*

Please enter a number greater than or equal to 1.

Has the borrower made any payments since closing?

Yes

Since this loan has been serviced by another servicer, or by the current or previous lender our office will require a payment history, and goodbye letter at the end of this form. Additionally, information on the previous servicer will be requested later in this form.

Current Principal Balance (Ending principal balance on borrower payment history must match this amount)*

Please enter a number greater than or equal to 1.

Unpaid Late Charges (This may not apply)

Unpaid Charges (This may not apply)

ex. Attorney fees, lender funds advance, etc.

Unpaid Interest (This may not apply)

Regular Payment Information

Apply To Interest (and Principal if fully amortized)*

Please enter a number greater than or equal to 1.

Apply To Impounds*

If there is an amount in this filed please complete the additional payee section.

Apply To Other*

Hidden

Certification

By checking this box I certify I understand there will be an additional $60.00 added to the onetime note setup fee

Total Payment Amount*

Is there a Late Charge provision in the note?*

Yes

Late Fee Information

FOR INTERNAL USE ONLY

CC2954.4 applys

Late Fee after X Days (Grace Period)

Late Charge % (If Applicable)

Late Charge Minimum (If Applicable)

Additional Daily Amount (If Applicable)

Late Payment Verification*

By checking this box, you certify you are aware any late fees paid by the borrower or any payor while NSC is contracted as the servicer will be split 50 50 between the lender(s) and servicer.

By checking the option below, you certify that you are aware that late fees paid by the borrower are split with the Servicer. Please indicate the way that you would like these fees split:*

50/50 - Between Servicer and Lender

25/25/50 - Between Lender, Broker, and Servicer

Does your loan have a prepayment penalty*

Yes

When does the prepayment penalty expire?*

MM slash DD slash YYYY

Does your loan have a default interest rate?*

Yes

How many day until default interest is applied?*

If the default interest rate goes into affect what will the new interest rate be at that time?*

Property Information

Property Address*

Street Address Address Line 2 City State ZIP Code

Property Type*

Occupancy Type*

Do you want us to take care of California withholding?

Yes

Previous Servicer Information

Previous Servicer Company*

Previous Servicer Name

First Last

Previous Servicer Phone

Previous Servicer Email (if applicable)

Previous Servicer Payment Address*

Street Address Address Line 2 City State ZIP Code

Is the mailing address the same as the payment address?*

Yes

Mailing Address (if different)*

Street Address Address Line 2 City State ZIP Code

Transfer Date (must be at least 15 days from today)*

MM slash DD slash YYYY

Section 32?

Please check all that apply

Is the property other than a Single Family Residence 1-4 units?

Is the borrower a corporation, LLC or LP?

Is the transaction to purchase the property?

Is the loan to finance the initial construction of the borrower’s dwelling?

Is the loan for business purposes? (must complete a certificate of business purpose)

If you have chosen any two of the above and the below apply to the origination of your loan:

The Home Ownership and Equity Protection Act (HOEPA) as implemented by Federal Reserve Regulation Z – Section 32 – imposes additional disclosure requirements on these types of loans and prohibits certain acts and practices in connection with mortgage lending. HOEPA prohibits extending credit without regard to a consumer’s repayment ability.

HOEPA identifies a high-cost mortgage loan through rate and fee triggers, and it provides consumers entering into these transactions with special protections. HOEPA applies to closed-end home-equity loans (excluding home-purchase loans) bearing rates or fees above a specified percentage or amount.

A loan is covered by HOEPA if (1) the Annual Percentage Rate (APR) exceeds the rate for Treasury securities with a comparable maturity by more than 10 percentage points, or (2) the points and fees paid by the consumer exceed the greater of 8 percent of the loan amount or $480 (for 2002, adjusted annually based on the Consumer Price Index).

HOEPA restricts certain loan terms for high-cost loans because they are associated with abusive lending practices. These terms include short-term balloon notes, prepayment penalties, non-amortizing payment schedules, and higher interest rates upon default.

Then Section 32 applies to this loan, please mark the appropriate selection below:

Section 32*

Yes

This appears to be a Section 32 loan

Section 7

Does your loan fall under Article 7 of the California B & P Code Section 10240.1 and 10240.2?
Article 7 (California B & P Code Section 10240.1 and 10240.2) applies only to loans secured by real property which includes a dwelling. For this purpose, a dwelling is a single dwelling unit in a condominium or cooperative or a parcel containing only residential units if the total number of units on the parcel is four or less.
Except for its disclosure statement, late charges, and loan prepayment provisions, Article 7 applies only to Single Family Residences 1-4 first trust deed loans under $30,000 and junior trust deed loans under $20,000.

Section 4970 (CA Only)

Is your loan a covered loan as defined in Financial Code Section 4970(a) through (e) 4970 covered consumer loans, secured by the borrower’s primary dwelling, in which the original principal balance does not exceed the most current conforming loan limit for a single family first mortgage loan established by FNMA, and where the APR exceeds by more than 8 points the yield of Treasury securities having comparable periods of maturity, or the total points and fees exceed 6% of the total loan amount. This loan is covered only if the person originating the covered loan receives direct compensation in connection with the charge

Section 4970 (CA Only)*

Yes

Lender 1 Information

You indicated that there was seller financing. If you are the seller who provided financing, then you are the lender on the transaction. Complete the Lender area with your information.

PLEASE NOTE

We have updated our process to make lender entry faster and easier for returning customers.

If you are:

entering a loan for the first time
a returning customer and this is the first time you've seen this message
a returning customer and are entering a new lender

please choose the "Enter New Lender" option. This will open a form where you can enter the lender information.

If you are a returning customer and you entering a loan for a lender you've used in the past, be sure the name and email you entered for yourself on this form (at the top) matches your previous entries. That will then populate a list of previously used lenders from which you can choose.

If any of the lenders are a corporate entity (ex: Corporation, LLC, etc). we will require Proof of Signing Authority for the Entity

Lender 1: Do you want to add a new lender or select from existing lenders?*

Add new lender

Select from existing lenders

Lender 1: Select Lender*

Company Name (EX Corporation, LLC, etc.)

Person Name

Lender 1: Select from existing lenders (Company)

Lender 1: Company Name*

Lender 1: Name*

First Last

Lender 1 Address*

Street Address City State ZIP Code

Lender 1 Home Phone

Lender 1 Work Phone

Lender 1 Cell Phone

Lender 1 Email*

Lender 1: Select from existing lenders (Person Name)

Lender 1: Name*

First Last

Lender 1 Address*

Street Address City State ZIP Code

Lender 1 Home Phone

Lender 1 Work Phone

Lender 1 Cell Phone

Lender 1 Email*

New Lender 1

Person Name	Address	Home Phone	Email	Actions

There are no Entries.

Maximum number of entries reached.

Hidden

Section Break

Lender 1 Amount Funded*

Dollar amount funded by this lender

Are there any additional lenders?*

YES

Lender 2 Information

Lender 2: Do you want to add a new lender or select from existing lenders?

Add New Lender

Select from existing lenders

Lender 2: Select Lender*

Company Name (EX Corporation, LLC, etc.)

Person Name

Lender 2: Select from existing lenders (Company)

Lender 2: Company Name*

Lender 2: Name*

First Last

Lender 2 Address*

Street Address City State ZIP Code

Lender 2 Home Phone

Lender 2 Work Phone

Lender 2 Cell Phone

Lender 2 Email*

Select from existing lenders (Person Name)

Lender 2: Name

First Last

Lender 2 Address*

Street Address City State ZIP Code

Lender 2 Home Phone

Lender 2 Work Phone

Lender 2 Cell Phone

Lender 2 Email*

Lender 2

Person Name	Address	Home Phone	Email	Actions

There are no Entries.

Maximum number of entries reached.

Lender 2 Amount Funded*

Dollar amount funded by this lender

Are There any additional Lenders?*

YES

Lender 3 Information

Lender 3: Do you want to add a new lender or select from existing lenders?

Add New Lender

Select from existing lenders

Lender 3 Company Name (EX Corporation, LLC, etc.)

Company Name

If Applicable

Lender 3: Select from existing lenders

Lender 3: Name

First Last

Lender 3 Address*

Street Address City State ZIP Code

Lender 3 Phone

Lender 3 Email*

Lender 3

Person Name	Address	Home Phone	Email	Actions

There are no Entries.

Maximum number of entries reached.

Lender 3 Amount Funded*

Dollar amount funded by this lender

Are There any additional Lenders?*

YES

Lender 4 Information

Does this lender have an existing account with NSC?*

Yes

Lender name as it appears on the note*

Hidden

Section Break

Lender 4 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

Are There any additional Lenders?*

YES

Lender 5 Information

Does this lender have an existing account with NSC?*

Yes

Lender name as it appears on the note*

Hidden

Section Break

Lender 5 Company Name (EX Corporation, LLC, etc.)

Company Name

If Applicable

Lender 5: Name

First Last

Lender 5 Address*

Street Address City State ZIP Code

Lender 5 Phone

Lender 5 Email*

Hidden

Section Break

Lender 5 Amount Funded*

Dollar amount funded by this lender

Are There any additional Lenders?*

YES

Lender 6 Information

Does this lender have an existing account with NSC?*

Yes

Lender name as it appears on the note*

Hidden

Section Break

Lender 6 Company Name (EX Corporation, LLC, etc.)

Company Name

If Applicable

Lender 6: Name

First Last

Lender 6 Address*

Street Address City State ZIP Code

Lender 6 Phone

Lender 6 Email*

Hidden

Section Break

Lender 6 Amount Funded*

Dollar amount funded by this lender

Are There any additional Lenders?*

YES

Lender 7 Information

Does this lender have an existing account with NSC?*

Yes

Lender name as it appears on the note*

Hidden

Section Break

Lender 7 Company Name (EX Corporation, LLC, etc.)

Company Name

If Applicable

Lender 7: Name

First Last

Lender 7 Address*

Street Address City State ZIP Code

Lender 7 Phone

Lender 7 Email*

Hidden

Section Break

Lender 7 Amount Funded*

Dollar amount funded by this lender

Are There any additional Lenders?*

YES

Lender 8 Information

Does this lender have an existing account with NSC?*

Yes

Lender name as it appears on the note*

Hidden

Section Break

Lender 8 Company Name (EX Corporation, LLC, etc.)

Company Name

If Applicable

Lender 8: Name

First Last

Lender 8 Address*

Street Address City State ZIP Code

Lender 8 Phone

Lender 8 Email*

Hidden

Section Break

Lender 8 Amount Funded*

Dollar amount funded by this lender

Are There any additional Lenders?*

YES

Lender 9 Information

Does this lender have an existing account with NSC?*

Yes

Lender name as it appears on the note*

Hidden

Section Break

Lender 9 Company Name (EX Corporation, LLC, etc.)

Company Name

If Applicable

Lender 9: Name

First Last

Lender 9 Address*

Street Address City State ZIP Code

Lender 9 Phone

Lender 9 Email*

Hidden

Section Break

Lender 9 Amount Funded*

Dollar amount funded by this lender

Are There any additional Lenders?*

YES

Lender 10 Information

Does this lender have an existing account with NSC?*

Yes

Lender name as it appears on the note*

Hidden

Section Break

Lender 10 Company Name (EX Corporation, LLC, etc.)

Company Name

If Applicable

Lender 10: Name

First Last

Lender 10 Address*

Street Address City State ZIP Code

Lender 10 Phone

Lender 10 Email*

Section Break

Lender 10 Amount Funded*

Dollar amount funded by this lender

Original Lender Information

Because this loan was purchased we will need the following information for each transfer

Original Lender Name*

Next Lender Name in chain of title*

Do you have a copy of the assignment of the deed of trust or mortgage?*

Yes

Are there more assignments in the chain of title?

Yes

Next Lender

Next Lender Name in chain of title*

Do you have a copy of the assignment of the deed of trust or mortgage?*

Yes

Are there more assignments in the chain of title?

Yes

Next Lender

Next Lender Name in chain of title*

Do you have a copy of the assignment of the deed of trust or mortgage?*

Yes

Are there more assignments in the chain of title?

Yes

Next Lender

Next Lender Name in chain of title*

Do you have a copy of the assignment of the deed of trust or mortgage?*

Yes

Are there more assignments in the chain of title?

Yes

Next Lender

Next Lender Name in chain of title*

Do you have a copy of the assignment of the deed of trust or mortgage?*

Yes

Are there more assignments in the chain of title?

Yes

Next Lender

Next Lender Name in chain of title*

Do you have a copy of the assignment of the deed of trust or mortgage?*

Yes

Underlying Lender Information

Payee 1: Name*

Name

Account Number

Payee 1 Address*

Street Address City State ZIP Code

Payee 1 Phone

Principal and interest monthly payment amount*

Taxes and/or insurance monthly payment amount*

Payment Total Amount*

Date next underlying payment is due*

MM slash DD slash YYYY

Is there another underlying lender?

Yes

Underlying Lender Information

Payee 2: Name*

Name

Account Number

Payee 2 Address*

Street Address City State ZIP Code

Payee 2 Phone

Principal and interest monthly payment amount*

Taxes and/or insurance monthly payment amount*

Payment Total Amount*

Date next underlying payment is due*

MM slash DD slash YYYY

Payee 1 Information (tax or insurance)

Is this Payee for taxes or insurance?

Taxes

Insurance

Do you have a copy of your statement?*

Yes

REMINDER: Submitting this loan without a statement will incur a non-refundable $100 fee for this payee for NSC to do research

Is the payee current?*

Yes

Payee Information

Payee 1: Name*

Name

Account Number

Payee 1 Address*

Street Address City State ZIP Code

Payee 1 Phone

Number of Payments Per Year*

Next Payment Date*

MM slash DD slash YYYY

The next payment due date should be should be a future date

Next Payment Total Amount*

Date of payment number 2*

MM slash DD slash YYYY

Total of payment number 2*

Date of payment number 3*

MM slash DD slash YYYY

Total of payment number 3*

Date of payment number 4*

MM slash DD slash YYYY

Total of payment number 4*

Additional Comments

Hidden

Are there additional payee? 1

Are There Other Payees? Taxes, Insurance, or HOA.*

YES

By clicking yes our office will be contacting you with instructions where to forward the funds to pay taxes and/or insurance.

Payee 2 Information (Taxes, Insurance, or HOA)

Is this Payee for taxes or insurance?

Taxes

Insurance

Do you have a copy of your statement?*

Yes

REMINDER: Submitting this loan without a statement will incur a non-refundable $100 fee for this payee for NSC to do research

Is the payee current?*

Yes

Payee Information

Payee 2: Name*

Name

Account Number

Payee 2 Address*

Street Address City State ZIP Code

Payee 2 Phone

Number of Payments Per Year*

Payee 2 Next Payment Date*

MM slash DD slash YYYY

The next payment due date should be should be a future date

Payee 2 Total Distribution Payment Amount*

Date of payment number 2*

MM slash DD slash YYYY

Total of payment number 2*

Date of payment number 3*

MM slash DD slash YYYY

Total of payment number 3*

Date of payment number 4*

MM slash DD slash YYYY

Total of payment number 4*

Additional Comments

Hidden

Are there additional payees? 2

Are There Other Payees? Taxes, Insurance, or HOA*

YES

By clicking yes our office will be contacting you with instructions where to forward the funds to pay taxes and/or insurance.

Payee 3 Information (Taxes, Insurance, or HOA)

Is this Payee for taxes or insurance?

Taxes

Insurance

Do you have a copy of your statement?*

Yes

REMINDER: Submitting this loan without a statement will incur a non-refundable $100 fee for this payee for NSC to do research

Is the payee current?*

Yes

Payee Information

Name*

Name

Account Number

Payee 3 Address*

Street Address City State ZIP Code

Payee 3 Phone

Number of Payments Per Year*

Payee 3 Next Payment Date*

MM slash DD slash YYYY

The next payment due date should be should be a future date

Payee 3 Total Distribution Payment Amount*

Date of payment number 2*

MM slash DD slash YYYY

Total of payment number 2*

Date of payment number 3*

MM slash DD slash YYYY

Total of payment number 3*

Date of payment number 4*

MM slash DD slash YYYY

Total of payment number 4*

Additional Comments

Hidden

Are there additional payees? 3

Are There Other Payees? Taxes, Insurance, or HOA*

YES

By clicking yes our office will be contacting you with instructions where to forward the funds to pay taxes and/or insurance.

Payee 4 Information (Taxes, Insurance, or HOA)

Is this Payee for taxes or insurance?

Taxes

Insurance

Do you have a copy of your statement?*

Yes

REMINDER: Submitting this loan without a statement will incur a non-refundable $100 fee for this payee for NSC to do research

Is the payee current?*

Yes

Payee Information

Name*

Name

Account Number

Payee 4 Address*

Street Address City State ZIP Code

Payee 4 Phone

Number of Payments Per Year*

Payee 4 Next Payment Date*

MM slash DD slash YYYY

The next payment due date should be should be a future date

Payee 4 Total Distribution Payment Amount*

Date of payment number 2*

MM slash DD slash YYYY

Total of payment number 2*

Date of payment number 3*

MM slash DD slash YYYY

Total of payment number 3*

Date of payment number 4*

MM slash DD slash YYYY

Total of payment number 4*

Additional Comments

File Upload

Please find below a list of document we will need to finalize the setup servicing the account:

Contract (note, land contract, contract for deed)

Security Agreement (Deed of Trust, or Mortgage)

Your loan is not complete until payment is made.

One time Setup Fee

Price:

Additional Setup for Impounds

Price:

Additional for Aggregate Escrow Analysis

Price:

Additional Setup for Multi-lender loan

Price:

Additional Setup for AITD loan

Price:

Additional Setup for Non-Performing Note Fee

Price:

Additional Setup for Non-Performing Note Fee

Price:

Assignment Collection Fee

Price:

Bankruptcy Note Setup

Price:

Optional Tax Service (If not Impounded)

Price:

Assignment Collection Fee

Price:

Assignment Collection Fee

Price:

Assignment Collection Fee

Price:

Assignment Collection Fee

Price:

Assignment Collection Fee

Price:

Non-refundable $100 fee for Payee 1 statement

Price:

Non-refundable $100 fee for Payee 2 statement

Price:

Non-refundable $100 fee for Payee 3 statement

Price:

Non-refundable $100 fee for Payee 4 statement

Price:

Rush Fee

Price:

Rush Fee

Price:

Total

I/We declare that the information in this report is true and correct to the best of my/our knowledge and belief.*

Certify

To save and continue later please click the "Save and Continue Later" hyperlink below ⇓ once prompted please supply an email address on the next page. Closing your browser before entering an email address will result in a loss of all information.

Special Processing Code (if applicable)

Original Gravity Forms Submission ID*

Payment Consent*

I confirm that I am authorizing Note Servicing Center to take the loan submission fees from the borrower's first payment.

Coupon Code

Credit Card*

Card Details

Cardholder Name

Once you click Submit, it may take up to 10 seconds for the system to process this data. Please do not hit submit again or it will create duplicate records and delay the processing of your loan.

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

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