Dustin Gaskey
Sales Associate
480.282.7727
Dustin.Gaskey@fnf.com
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Dustin Gaskey
Sales Associate
480.282.7727
Dustin.Gaskey@
fnf.com
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Please complete fields appropriate to your order. Do not press ENTER until the end - use TAB to advance to next field.
YOUR INFORMATION
Ordering Party:
Real Estate Agent/Broker
Mortgage Broker
Lender
Attorney
Government
Sales Rep
Escrow Officer
Investor
Company Name:
*
Address:
City:
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Zip:
Phone #:
Ext:
Fax #:
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Client Name:
*
Email Address:
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PLEASE IDENTIFY YOUR FIDELITY CONTACT
Escrow Officer:
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LEAD INFORMATION
GEOGRAPHIC AREA
Subject Property Address:
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Subdivision:
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Boundaries:
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1st MORTGAGE INFORMATION
Loan Amounts:
Date Range:
Loan Type:
Fha
VA
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Sales Amount:
Lender Name/Type:
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Quantity of Leads:
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Interest Rate Type:
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Include In Report:
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Only Records W/ Phones
SERVICES REQUESTED
Labels Needed?
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Label Format:
Site Address
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Delivery Method:
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Include:
Owner Name
Owner Name + or Current Resident
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Format:
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