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ORDER NO.

 

 

Borrower: Collateral Code:  
Purchase Price: $ *Loan Amount: $
Sales Contract: ?Attached ?To Follow *Refinance Loan Amount:

*Loan amounts are important in determining appraisal type.

 
Address: City: County:
State: Zip Code: Owner:

LEGAL DESCRIPTION: (Mandatory, provide addendum if necessary).

Name: (Specify owner, borrower, agent etc.)
Phone: Fax/Cell/Other Contact Numbers: Other:

 

 

 

 

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