Order Form

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Transaction Type Select One SALE REFINANCE 2nd MORTGAGE FORECLOSURE LOT SALE O & E Loan Amount $ Property Info PROPERTY TYPE -- RESIDENTIAL --- COMMERCIAL --- VACANT PROPERTY ADDRESS TAX PARCEL ID # LEGAL DESCRIPTION (IF AVAILABLE.) Applicant APPLICANT'S NAME  STREET ADDRESS CITY STATE select KS MO ZIP PHONE FAX E-MAIL ADDRESS BUSINESS SOURCE Seller SELLER'S NAME  STREET ADDRESS CITY STATE select KS MO ZIP PHONE Buyer/Borrower BORROWER'S NAME  STREET ADDRESS CITY STATE select KS MO ZIP PHONE CLOSING DATE  COMMITMENT NEEDED (DATE) SEND ADDITIONAL COMMITMENTS TO (EMAIL ADDRESS - IF OTHER THAN APPLICANT) NOTES