______________________________________________________________
Client Name
______________________________________________________________
Address
______________________________________________________________
Phone/Fax |
| |
|
| Loan
#___________________________________________ |
Loan
type___________________________________ |
| Loan
position:___1st___2nd___3rd___ |
UCC
Filing [_]Yes [_]No |
| |
|
| Borrower Information |
|
| Trustor SSN:______________________________________
|
Trustor Name:________________________________ |
| |
|
Property Address:
________________________________________________
________________________________________________
________________________________________________ |
Mailing Address:
________________________________________________
________________________________________________
________________________________________________ |
| |
|
| Status of Account |
|
| Date Due__________________________________________ |
Interest Rate____________________________________
|
| Monthly Payment____________________________________ |
Late Charge____________________________________ |
| Total Due__________________________________________ |
Interest Paid to__________________________________ |
| Principal Balance____________________________________ |
Occupied by____________________________________
|
| Escrow/Advance Balance______________________________ |
|
| |
|
| Reason for default___________________________________ |
|
| |
|
| Documents
Enclosed (Originals/Copies): circle one |
|
| Deed of trust________________________________________ |
Demand Letter______________________________ |
| Assignment(s) Note__________________________________ |
Bankruptcy Relief____________________________ |
| Substitution Title policy________________________________ |
MIC/LGC___________________________________ |
| |
|
Please
forward copies of all correspondence to the attention of:
__________________________________________________ |
|
| |
|
| Signed____________________________________________ |
|
| |
|
| Special
Instructions |
|
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________ |
| |
|
| |
|
| We Appreciate Your Business!
|
| _______________________________________________________________________ |
American
Trust Deed Services
14412 Friar Street, Van Nuys, CA 91401
Voice (818) 781-9800 ~
Fax (818) 781-9808 |