LENDER/CLIENT
* NAME
* ADDRESS
* CITY / STATE / ZIP
PHONE DAY / EVENING
FAX
EMAIL ADDRESS
LENDER FILE #
LOAN OFFICER
PROPERTY
* PROPERTY ADDRESS
* CITY / STATE / ZIP

REAL ESTATE PROPERTY
ID # FROM TAX STATEMENT

LEGAL DESCRIPTION
BUYER
OWNER
BUILDER
LISTING BROKER
COMMENTS/QUESTIONS