Name of Lender
Contact
Address
City
State, Zip
,
,
Email (for EDI)
Phone
Fax
Name of Applicant
Address
City
State, Zip
,
Phone
and
Property and Mortgage Information
Property Type
Occupancy Status
Type of Loan
Lien Position
Loan Purpose
Detached
Primary Residence
Conventional
First Mortgage
Purchase*
Attached
Second Home
Carry Back
Second Mortgage
Cash-Out Refi
Condo
Investment Property
Cash
No Cash-Out Refi
PUD
* Please include sales contract
Sales Price:
$
Estimated Value:
$
Loan Amount:
$
Property Address
to be appraised
(include County):
Listing Agent Name:
Listing Agent Phone:
Cell:
Selling Agent Name:
Selling Agent Phone:
Cell:
Type of Appraisal:
Full
Drive By
Market Rent Analysis
Contact for entry, if not same as borrower:
Comments:
