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Over Fifteen Years of Professional Service!
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Print and Fax to (502) 315-1519 Date ordered:___________________ Broker:____________________________ Contact Person:_________________ Phone:____________________________ Lender:________________________ Loan amount: $_____________________ Property address:__________________________________________________ City:________________ State:_______ County:_______________ Zip:_______ Borrowers name(s):_________________________________________________ Marital Status:__________________ Was property inherited?_______________ SS#:________-________-________(his) _________-________-_________(hers) Is the home a manufactured home or trailer?_____________________________ Seller’s name(s):___________________________________________________ Marital Status:__________________ Was property inherited?_______________ SS#:________-________-________(his) _________-________-_________(hers) (If a purchase, fax copy of Purchase Agreement or Contract for Deed) Special Instructions: Check or complete all applicable If Secured Title to order payoffs, please list lender(s), phone & account number __________________________________________________________________ __________________________________________________________________ POA or Trust:_____ Contract for Deed:______ Estate/Deceased spouse:______ Bankruptcy:_______ Foreclosure:_______ Other Instructions:_______________ __________________________________________________________________ |
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