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* = Required fields.

Loan Officer Info (Required)
(loan officer) Name *
Company *
Manager Name
Need Manager Approval	Yes No
Manager Email
Address
City
State
Zip
Phone *
Mobile
Fax
E-mail Address *
How did you hear about us?
Desired Username *
Desired Password *
Re-type Password *

Appraisal Request Property Info (Optional)
Request Needed By: Month: 01 02 03 04 05 06 07 08 09 10 11 12 Day: 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year: 2008 2009
Request Type	Appraisal Request Restricted Appraisal (Comp) Request
Borrower First Name
Borrower Last Name
Street Number
Street Name
City
State
Zip
County	Bastrop Caldwell Comal Gonzales Guadelupe Hays Travis Williamson
Collect Check On-Site	Yes No
Occupied By	Owner Tenant
Loan Number
Estimated Value
Loan Type	Refinance Purchase
Property Type	Single Family Duplex Triplex Fourplex Condo Rural Mobile Home
Appraisal Type	1004 URAR FHA OIS Final Other (if other)
Contact(s) for Property Access
Name Work Phone Home Phone Mobile Phone
Lockbox
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