DART Funding Company

It's your money, why wait?

Private Mortgage Notes

Please review the form as it is very important that all the information be complete and accurate, as this will effect the time it will take and the amount that we offer. Fill out the form TODAY and we will have your quote in 24-48 hours.
We are able to offer higher payments because we don't have the high cost of advertising.

Full Name*

E-mail*

Phone Number*

Original Selling Price*

Down Payment*

Original note balance*

Months Financed*

Interest Rate*

Monthly Payment*

Is there a Balloon Payment? If Yes, Fill in Date and Amount.

Yes
No

Due date of Balloon payment

Amount of Balloon payment

Date of 1st payment*

Date of 1st payment

Current Appraised Value*

Current Balance*

Is the property lived in by the owners

Yes
No

Is there an underlying balance. If yes, Enter amount in the next field

Yes
No

Amount of underlying balance of other loans on property

Credit of the payer

Excellent
Good
Bad
Unknown

Property Type (Please put the age and if its a single or double in the Comments)

Single Family
Duplex/Four-plex
Condo/Townhouse
Mobile Home
Comercial
Land only
Land with utilities (improvements)

Is there title insurance on the property

Yes
No

Property Description and Location/ Other comments*

You've already responded.

You can submit this form only once.

Lawsuit settlements

Please review the form as it is very important that all the information be complete and accurate, as this will effect the time it will take and the amount that we offer.

Full Name*

E-mail*

Phone Number*

State clients residents*

What type of settlement

Car Accident
Personal Injury
Wrongful Death
Other (explain in comments)

Was this work related (If yes, we cannot do this deal)

Yes
No

Have you sold payments before? If yes then please enter to what company and Which payments in comments)

Yes
No

How are payments paid out?

Monthly
Quarterly
Annually
Combination

Do payments increase? If yes, please enter in comments

Yes
No

Will you receive lump sum payments? ( If yes, enter dates and amounts in the comments section

Yes
No

How many payments would you like to sell?*

How much money would you like to get by selling these payments?*

Comments*

Lottery winnings

Please review the form as it is very important that all the information be complete and accurate, as this will effect the time it will take and the amount that we offer.

Full Name*

E-mail*

Phone Number*

What type of prize winning was it?

State Lottery
Casino winning

Have you sold payments before?

Yes
No

If yes, What company did you sell them to?

What was the date you won?*

What was the date you won?

Were you the only winner?

Yes
No

If no, how many other winners and What % did you win?

What is the gross amount won?*

What is the gross annual payment amount?*

What is the net annual payment amount?*

What state was the prize won in?*

What state do you reside in?*

How many payments would you like to sell?*

How much money are you looking to get?*

Business notes

Please review the form as it is very important that all the information be complete and accurate, as this will effect the time it will take and the amount that we offer.

Full Name*

E-mail*

Phone Number*

Business Information:

Type of business*

How long in business?*

Value of equipment*

Value of Inventory*

Value of Goodwill*

Is the business a franchise?

Yes
No

Is the note personally guaranteed?

Yes
No

Is the business location leased?

Yes
No

Business address, City, State, Zip*

Note Information:

Selling price of business*

Down payment*

Original Note Balance*

Months financed*

Interest Rate on Note*

Date of 1st payment*

Date of 1st payment

Monthly Payment Amount*

Number of Payments Remaining*

Current note balance*

Is there a Ballon payment

Yes
No

Credit of payer

Excellent
Good
Marginal
Bad
Unknown

Contact

Shelby, North Carolina, United States

866-639+4899 - Dart Funding Company
dartfundingcompany@gmail.com