Your Company Name ______________________________________________________
Your Name ______________________________________________________________
Company Address _________________________________________________________
Company Phone __________________________________________________________
Your E-mail Address _______________________________________________________
Date Needed _____________________________________________________________
Borrower’s Name __________________________________________________________
Property Address __________________________________________________________
Borrower’s Phone __________________________ home_____ work_____ cell______
Owner’s Estimate of Value or Sales Price ________________________________________
Pick up Payment at Inspection? Yes_____ No_____
Reason for Order Refinance_____ Purchase_____ Pre-Comp_____ Other______
Comments _______________________________________________________________
________________________________________________________________________
Signed _______________________________________________ Date ______________
PLEASE FAX OR E-MAIL WITH SIGNED SALES CONTRACT FOR PROPERTY
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HCR 68, BOX 121 FORT GARLAND, CO 81133 |
PHONE: 719-379-4605 FAX: 719-379-3797 |
