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:

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:

Type of Flood report requested:

Home in a special flood hazard area?:

Yes No

Flood Zone:

Map Number:

Map Date:

Loan Officer:

Phone: E-Mail:

Order Notes: