The Mortgage Buyer, Inc.
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Type of Instrument: Select One Note & Mortgage Note & Mortgage Deed Note & Deed of Trust Note and Trust Deed Land Contract Contract for Deed Other

Type of Property: Select One Single Family Residence Multi-Family 2-4 units Multi-Family 5 or more units Commercial Land Other

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If Property is Land; Public Road Frontage and Special Features:

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Owner Occupied or Operated? Select One Yes No Not Sure

Do You Own a Lender’s Policy of Title Insurance? Select One Yes No Not Sure

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Number of Late Payments Received: Select One None 1 2 3 4 5 or more

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