Loan Officer Information:

Company and Contact info:

Order Number:  
Loan Number:  
Tracking Number:  
 
Company Name:
Agent Name:
Contact Name:
Contact Title:
Telephone Number:
Fax:
Alternate Number:
Email:
Company Address:
City:
 State: Zip:

Subject Property Info:

Address:         City:
County: Zip:
Borrower's Name: Borrower's Home Phone:
Borrower's Alternate Phone:

Property Access (If Necessary):
Please provide the following contact information for the persons responsible for providing access to the property, such as Real Estate Agent, Property Manager, etc.

Contact Name: Contact Title:
Contact Cell Phone:  
Contact Alternate Phone:  
 

Notes:

Property Type:
SFR
Condo
PUD
Multi
Non-Owner Occupied
R.E.O
Apartment
Land
Commercial
Commercial-Type:
Appraisal Report Needed:
1004 SFR
1073 Condo
1075 Condo Ext.
2055 Ext.
1025 Multi Family
Land
Update of Original Report
2000 Field Review
Desk Review
Other
1004 D - Check 1 or 2
1. Notice Of Completion
2. Recertification
 
Form 216 (Operating Income Expense Report) Form 1007 (Rental Survey)
Commercial Narrative Report
Commercial Form Report
   
71A Apartment Loan over $750k
71A Apartment Loan under $750k
 

 
Is This an FHA Loan?
Loan Type: Yes No FHA Case #:
Refinance
Purchase
Estimated Value or Sales Price:
Loan Amount:
Is the Subject Property Listed? Yes No
If Yes, MLS Number:

Payment Info:

Payment Type
Collect at Door
We are sending payment to: P.O. Box 1287, Brentwood, CA 94513
Request Credit Card Authorization Form

Agreed Upon Fee:

Lenders Name:

Email Completed Report to Lender at:

Report Due Date: (mm/dd/yy)

Notes:

We accept the following credit cards:
Visa
Mastercard
American Express

Please call our scheduling office at (925) 634-7514 to pay by credit card.

PRINT THIS PAGE FOR YOUR RECORDS BEFORE SUBMITTING!

Attention:
If you do not receive an e-mail confirmation from our office within 2 hours (during regular business hours), please call the scheduling office at 925-634-7514.