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Collateral Form
Step
1
of
5
20%
Collateral Type
*
Single Family Residence
Multifamily
Condo
Residential Development
Commercial Development
Mixed Use
Retail
Industrial
Specialty
Other
Collateral Address
*
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Property Tax ID #
*
Property Value
*
Tax Assessed Value
Annual Taxes Owed
Source of Valuation
Appraisal
BPO
Comps
Guess
Other
Date of Valuation
MM slash DD slash YYYY
Does the property generate income?
*
Yes
No
How much income does the property generate?
*
How is the income generated? (i.e. Rents)
*
Please explain how you became involved with the property.
*
Do you have more collateral to add?
*
Yes
No
Collateral Form
October 10th, 2014
CPC Support