Reliant Financial, Inc. - Commercial, Real Estate, and Deed-of-Trust Cash Flow Note Buyers

24-HOUR PURCHASE OFFER REQUEST

Please complete the following form to receive a fast, confidential purchase offer on your note.
You may also call us toll-free 1-800-483-3544 x 4. Or, e-mail us at info@reliantfinancial.com


* Indicates Required Fields. Form will not be proccessed without this information.
CONTACT INFORMATION
* Name:
* Telephone:
Fax:
E-Mail:
LOAN INFORMATION
* Payment Schedule?
* Current Balance?
* Annual Interest rate?
* Payment Amount?
* Due Date of next Payment?
* Original loan amount?
ORIGINAL NUMBER OF PAYMENTS?
NUMBER OF PAYMENTS MADE?
NUMBER OF PAYMENTS REMAINING?
DELINQUINCIES IN LAST 12 MONTHS (BY THE BORROWER)?
DO YOU KNOW THE POSITION OF YOUR MORTGAGE?
BALLOON (DUE IN FULL) DATE?
BALLOON AMOUNT?
PROPERTY INFORMATION
* Property Description:
* Sales price of property:
* City:
* State:
Kind of Occupancy?
Acreage:
Current Estimated
market value?
HELPFUL INFORMATION
We would be grateful for your input on these brief questions.
Thank you!

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Contact us today and experience the Reliant difference.
Direct • Fast • Creative • Flexible

CONTACT DAVID KRUNIC
TOLL FREE: 1-800-483-3544 x 4 TELEPHONE: 713-334-2559 x 4
FAX: 713-334-2943
E-MAIL: info@reliantfinancial.com

9801 Westheimer Suite 211, Houston, Texas 77042

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©2003 Reliant Financial, Inc.