Construction


Type of Transaction

Property Information

*Property Address

*City

*State

*Zip

*County

Legal Description

Property Type

Buyer/Borrower(s):

*Complete Name(s)

Marital Status: marriedsingle

Current Address (City, State & Zip)

Phone No - Please use this format: (###) ###-####

Cell Phone No - Please use this format: (###) ###-####

Email

General Contractor:

Complete Name

Current Address (City, State & Zip)

Phone No - Please use this format: (###) ###-####

Cell Phone No - Please use this format: (###) ###-####

Email

Loan Amount

Please use this format: $1,234.10

TRID Compliant Loan

*Select Yes or No:

Lender Information

*Company Name

NMLS #

State License ID State

Complete Address (City, State & Zip)

Loan No.

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Name

NMLS #

State License ID State

Phone No - Please use this format: (###) ###-####

Cell Phone No - Please use this format: (###) ###-####

Email

Loan Processor

Name

Phone No - Please use this format: (###) ###-####

Cell Phone No - Please use this format: (###) ###-####

Email

Closing Protection Letter (CPL)

CPL Required? yesno

Complete Address for CPL (City, State & Zip)

Closing

Is Thomson-Affinity Title Closing? yesno

Closing Office/Closer

Liberty:

Overland Park:

Closing Date

Ordered By

Buyers Rep.Sellers Rep.

Your Name

State License ID State

Company

Address (City, State & Zip)

Phone No - Please use this format: (###) ###-####

Cell Phone No - Please use this format: (###) ###-####

*Email

Additional Copies To Realtors:

Contact Name State License ID State Company Name Phone No Email

Additional Copies To (Attorneys, Surveyors, Additional parties, etc.):

Contact Name Company Name Phone No Email

Special Instructions

Please enter this text in the field below:
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