1604 Abby Drive Naperville, IL.60563†††Ph:(630)609-0804†††††††††Fax: (630)778-9167

Scott@KurbSvc.com

 

 

 

From:________________________ Company:_______________________

 

Phone:________________ Ext:____ Fax:___________________________

 

Email:________________________ Loan Officer:_____________________

 

Property Type:††† Single Family††† Townhouse††††††† Condo†† Multi Unit††††††††† Other:_______________

 

Appraisal Type:URAR 1004†††††† Condo 1073†††††† 2055 Ext.††††††††† 1025 Multi†††††††† Other:_________

 

Purpose:†††† ††††††††††† Refinance††††††††† Purchase††††††††† Other:________________

 

Loan Amount:_________________ Est. Value:________________________

 

Borrower/Buyer:________________________________________________

 

Property Address:_______________________________________________

††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† Street†††††††††††††††††††††††††††††††††††††† ††††††††††† Unit #

††††††††††††††††††††††††††††††††††† _______________________________________________

††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† City††††††††††††††††† County††††††††††††††††††††††††† Zip Code

 

Contactís Name________________Contactís Home/Cell_______________

 

Contactís Work________________Additional Contact_________________

 

Comments____________________________________________________

 

 

Note:Please provide a copy of any Purchase Contract and, if applicable, please provide a contact for any HOA.

 

Please Fax all orders to (630) 778-9167 (No cover sheet is necessary)