Business Note Worksheet

Your Name: *
Your e-mail address *
Telephone:
Exact Name of Business:
Is the operation a Franchise?	Yes No
Type of Business:
Street Address of Business:
City:
State:
Zip:
Does the buisiness own the land that's underneath it?	Yes No
Square footage & acreage + other description
Business is (Owned/Leased) by payor?
Lease Expires:
Terms of renewal option(s):
Is the note singed by a Corporation?	Yes No
If so, is the Note personally guaranteed?	Yes No
If not signed by a Corporation, is the Note signed by an individual?	Yes No
Is there a signed Security Agreement with UCC-1 recorded at the time fo the Note creation?	Yes No
Date of Sale of Business:
Sale Price of Business:
Down Payment Amount:
1st Lien amount:
2nd Lien amount:
What is the Payor's qualification for this business?
How long in business at this location?
Date of Note creation:
Date of 1st payment on Note:
Interest rate:
Lenght of payment term (in months):
Monthly Payment Amount:
Number of Payments Made:
Number of Payments Remaining:
Next Payment Due Date:
Balloon Amount (if any):
Balloon Due Date (if any):
Is there anything else we should know about this note?