LENDER/CLIENT
* NAME
* ADDRESS
* CITY / STATE / ZIP
PHONE DAY / EVENING
FAX
EMAIL ADDRESS
LENDER FILE #
LOAN OFFICER
# OF COPIES REQUIRED
ONE COPY
TWO COPIES
THREE COPIES
FOUR COPIES
# OF SETS OF ORIGINAL PHOTOS
ONE SET
TWO SETS
THREE SETS
FOUR SETS
PROPERTY
PROPERTY TYPE
Single Family
2-4 Family
Condominium
Manufactured Home
Commercial
Agricultural
Other-Please Describe->
* PROPERTY ADDRESS
* CITY / STATE / ZIP
REAL ESTATE PROPERTY
ID # FROM TAX STATEMENT
LEGAL DESCRIPTION
BUYER
OWNER
BUILDER
LISTING BROKER
COMMENTS/QUESTIONS