* Name:        

* Address:     

*City:      * State:         * Zip Code:     
 

* Phone:         Fax:   

* E-mail Address:        

* Lender:           

* E-mail address for lender:           
 

* Form Type:    Form Type 1004 Full/URAR Fannie 1004C Fannie 2055 with Interior Inspect and Photos Fannie 2055 Drive by with Photos Freddie 2055 Drive by with Photos Freddie 2055 with Interior Inspect and Photos Freddie 2070 Drive by with Photos Freddie 2070 Full Freddie 72 Small Income 2-4 Family Condominium Comparable Rent Schedule Construction/Certificate of Completion Operating Income Statement Field Review Desk Review Land Other

* Sales Price:    * Loan Amount:

* Est. Value:           

                      * Legal Description:   

Property Type:    (None Selected) Detatched Attatched Condominium Townhouse Single Family Duplex Triplex Quad Land Other                    * Address:   

If Other:                      * City:       

                                                                                           State:    SC    * Zip Code:   

                           Directions:   
 

Occupancy:    Owner Vacant Tenant New Construction       Borrower:   

Home Phone:      Work Phone:       

Appointment Contact:
Borrower Co-borrower Occupant Owner Realtor Other If Other:   

Home Phone:      Work Phone:           Cell Phone:    

Additional Comments or instructions to the appraiser

Please contact me as soon as possible regarding this matter.