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FHA Case Number Request

* Indicates required field.
Is this a Reverse Mortgage?*
*
I/we certify at the time of requesting this FHA Case number that we have an active loan application for the subject borrower and property.
Is this a 203(k) Mortgage? *
Loan Number:*
Loan Originator Contact Information
First Name *
Last Name *
LO NMLS Number *
Phone *
Email *
Other Contact Information
First Name
Last Name
Title
Phone
Email
Amortization Term   (Required if this IS NOT a Reverse Mortgage)
Your Company Information
Entity's Legal Name *
Employer's ID Number (EIN)
Or Company's FHA ID Number *
Borrower Data
Borr1 Name *
SSN *
DOB (mm-dd-yyyy) *
Borr2 Name
SSN
DOB (mm-dd-yyyy)
Spouse Under 62
Spouse Name
SSN
DOB (mm-dd-yyyy)
Property Address
Address *
City *
State *
Zip Code *
Construction Code: *
Living Units: (enter number) *
Amortization Type: *
Property Type: *
Type of Case: *
Appraiser Data
Appraisal Ordered?   If yes, check the box