Aircraft Note Submission Worksheet

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Aircraft Note Submission Worksheet Note Owner Information Name _________________________________________________ Date _______________ Company___________________________________________________________________ Address ___________________________________________________________________ City __________________________________ State_____________ ZIP________________ Phone _____________ Fax _______________ E-mail ______________________________ Aircraft Information Type of aircraft (Manufacturer’s name, model) _____________________________________ Market value $ _________________________ Basis of value ________________________ Aircraft location address (hanger) ________________________________________________ County________________________________ City _____________ State ______________ Model number __________________________ Serial number _________________________ FAA registration # _______________________ Date of registration ____________________ Date registration expires __________________ County/State _________________________ Historical Information Date of sale ___________________ Selling price $___________________ Down payment $___________________ First lien $___________________ Second lien $___________________ Note Information Date of note Amount Term in months Payment amount Balloon amount Balloon date Interest rate Due date 1st pmt # of pmts paid # of pmts left Next pmt due Balance Details of Original Sale ________________________________ ________________________________ ________________________________ ________________________________ ________________________________ Payor Information (Employment info, payment history, SSN) ___________________________ ________________________________ ________________________________ ________________________________ Seller’s Motivation/Need ________________________________ ________________________________ ________________________________ ________________________________ ___________________ $___________________ ___________________ $___________________ $___________________ ___________________ ___________________ % ___________________ ___________________ ___________________ ___________________ $___________________ San Diego, Ca 92106 info@vespy.com fax: (800) 378-9171 I have copies of the following: Note  Yes Security Instrument  Yes Title  Yes Sales Contract  Yes Payor Credit Report  Yes Closing Statement  Yes Bill of Sale  Yes Insurance Pkg.  Yes Airworthiness Cert.  Yes          No No No No No No No No No

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