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Enter property address information below:
Street:
City:
State:
Zip:
County:
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Baldwin
Bibb
Bleckley
Butts
Crawford
Dodge
Dooly
Houston
Jones
Lamar
Larens
Macon
Monroe
Peach
Pulaski
Putham
Taylor
Twiggs
Upson
Wilkinson
Other - If so, specify in the Comments Box.
Property Type:
- Select One -
Single Family
Condominium
PUD/Townhouse
Income Units#
Proposed
Under Construction
Loan Type:
Sale
Refinance
Case Number (for FHA loans only):
Sales Price (if sale):
Sales Date (if sale):
Estimate of Value (if refinance):
Appraisal Required By Date:
Contact Person(s)
Note: This is the person (or persons) we may contact to gain access to the property.
Contact 1:
Home Phone:
Work Phone:
Contact 2:
Home Phone:
Work Phone:
Mortgage Company:
Street Address:
City:
State:
Zip:
Contact:
Phone:
Fax:
Email:
Your Email Address:
Comments or Special Instructions:
