On-Line Information Form
*Required Fields


E-mail: *
Your Name:
Company Name:
Address:
City:   State:    Zip: 
Authorized By:
Loan Officer:
Order/Ref #:
Telephone #:   Fax #: 

REPORT
DESCRIPTION
 PROPERTY
TYPE
PURPOSE

TYPE OF REPORT
Self-Contained Complete Report
Self-Contained Limited Report		 Summary Complete Report
Summary Limited Report (most common)		 Restricted Complete Report
Restricted Limited Report Only

INSTRUCTIONS
FHA
FHA 203K		 Comp Photos
Subject Photo Only		 Interior Inspection
Exterior Inspection Only

ATTACHMENTS
Legal Description
Purchase Agreement		 Title Report
Pest Inspection		 Building Inspection
Appraisal Report

PLEASE WRITE REPORT:    AS IS    SUBJECT TO    PLANS & SPECS

SUBJECT PROPERTY INFORMATION
Legal Owner(s):
Occupant:
Address:
City:  State:     Zip: 
County:
Occupant Phone:
Parcel #:

INSTRUCTIONS TO APPRAISER
For Access:
Home Phone:    Work Phone: 
Buyer(s):  
Contact YES NO 
Buyer's Phone:
Listing Agent:    Listing Agent Phone:  
Selling Agent:    Selling Agents Phone: 
Estimated Value:
Sales Price:


METHOD OF PAYMENT
Bill Me      Pick up payment from borrower     

NOTES:   (addition information)

 







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