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Client Info
From:
Phone:
Client #:
FAX
Date:
Ordered By:
Loan ID:
Lender Name (name to go on report)
Borrower Info
Name:
Property Type
SFR
PUD
Condo
Coop
Multi (2)
Multi (3)
Multi (4)
Other
Property Address:
Report Type
Full (1004)
Drive-by (704)
FNMA (2055)
FNMA (2065)
SRIP (1025)
Desk Review
Field Review
Final Inspection
Draw Inspection
Recertify Value
Retype w/photos
City:
FHA
No
Yes
State
Loan Type
Purchase
Refinace
County:
Sales Price
Zip:
Billing Info
Method of Payment:
COD
Bill
Appraisal Fee
Authorized by:
Contact Info
Name
Home Phone
Work Phone
Other Phone
E-Mail Address:
Notes/Special Instructions
We accept all major credit cards - Mastercard, Visa, Discover & AMEX