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| Lender Name |
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| Lender Contact: * |
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| Lender Contact Number |
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| Borrower Name: * |
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| Co-Borrower Name: |
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| Subject Property Address: * |
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| City: * |
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| Zip: * |
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| State: |
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| Borrower Phone: * |
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| Borrower Cell Number: * |
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| Loan Purpose |
PurchaseRefinanceConstruction |
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| Loan Type: |
Conventional |
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FHA USDA RD |
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| Occupancy Status |
PrimarySecond HomeInvestment |
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| Sales Price: |
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| Escrow Company: |
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| Escrow Company Phone Number: |
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| Appaisal Type |
Interior/Exterior (full)Exterior Only |
| Appraisal Form Requested (ie. 1004, 1004MC, 2055, 1007, 1075): |
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| Method of Payment: |
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| Email Appraisal to: |
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| Comments/Special instructions: |
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| RE Agents Contact information: |
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| By checking accept in the box below I acknowledge I am authorized to order appraisals on behalf of the above Company. I accept responsability of payment to Appraisal Management Resources.LLC |
Accept |
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