Welcome to the Accurate Group Order Entry System!
To send an order to the Accurate Group, please fill out the form below. Processing will begin promptly. Thank you.

Client Name:

Client ID Number:    

Transaction Type:

Purchase Refi H/E

Buyer/Borrower 1 Full Name:

Last 4 digits of Social Security Number:

Home Phone: Work Phone: Mobile Phone:

Buyer/Borrower 2 Full Name:

Last 4 digits of Social Security Number:

Home Phone: Work Phone: Mobile Phone:

Seller:

Loan or Application number #:

must be shown on the appraisal and BILLING.

Loan Amount:

Property Address:

City:

State: Zip:

County/Parish:

Legal Description:

Sales Price/Value:

Processor E-Mail:

Purchase Refinance

Agents: Selling:

Phone:

Listing:

Phone:

Customer Service Specialist:

Phone: E-Mail: Fax:

Title Services Requested

Yes No

Full Title Commitment/Policy
Short Form Policy
Property Report

The following Title Endorsements must be referenced in the Title Commitment and issued with the final
Short Form or Title Policy:

ALTA 8.1 Environmental Protection Lien
ALTA 6.0 Variable Rate Mortgage
ALTA 5.0 Planned Unit Development
ALTA 4.0 Condominium
FF - 9 (Survey)
Leasehold
Balloon Mortgage
ALTA 110.5 Modification
Other:

Closing At: Location (Home, Office, Realtor, etc.):

Street Address:

City:

State:

Zip:

Proposed Insured:

Date Final HUD-I Needed:

Appraisal Services Requested

Yes No

The Subject Property Is:

Owner Occupied New Construction Investment Second Home

Property Type

SFR Condo PUD Townhome 2-4

Type of Appraisal Ordered:

CONV  FHA / Case #: VA / Case #:

Appraisal Product:

AVM Full-1004 2055 Exterior 1004-C Manufactured Housing 1004-D Appraisal Update 1025 Multi Family 2 – 4 Family Other Other:

Items to be completed and attached (as applicable) to the completed appraisal:

Original Appraisal / Photos with Ink Signatures Required
PUD Certification
Operating Income Statement (FNMA 216)
CONDO Project Analysis
Single-Family Comparable Rent Schedule

Appraisers License

Flood Report requested:

Yes No

Type of Flood report requested:

Single Determination Life of Loan

Home in a special flood hazard area?:

Yes No

Flood Zone:

Map Number:

Map Date:

Loan Officer:

Phone: E-Mail:

Order Notes:

Payment information method:	*Card Type:	*Card Number:	*Exp Date:	Secure Code:
Bill this account Check Credit Card	VISA MasterCard AMEX		01 02 03 04 05 06 07 08 09 10 11 12 2007 2008 2009 2010 2011 2012

Is credit card billing address the same as property address? Yes No

If no, please add credit card statement billing address

Street Address:

City:

State:

Zip:

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