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   Client Information    Property Information  
Client Name: BR#:
Address:
City, ST, ZIP:
Phone / Fax:
Name / Email:
Mortgage broker? Y N
Property Address:   
City, ST, ZIP:  
County / Owner:  
Subdivision:
    Collect appraisal fee from borrower?   Yes No
Lot, Blk, NCB:  
Sales Price:
Refi Value:
Loan Amount:   

   Borrower Information    Order Information
Borrower Name: 
Cell Phone:
2nd Phone:
Contact for Entry:
Wrk/Oth Phone: /
Builder:

   Additional Comments
Select a Form Type:


Appraisal Type:
FHA FHA 203K
Conventional Proposed
Investment Property Refinance
Other Options:
Final Plans Available?
Recert Flagstar?
HVCC-Compliant
 
Processor:
Loan Officer:
FHA Appraiser: 
Loan/PO#:
LO Lic.#:
Loan Type:
FHA#:
Date Due:
EDI E-mail:
OLS Emails: [?]

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