J.M. Garrett & Sons, LLC
MORTGAGE SURVEY ORDER FORM

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If you do not wish to fill out the entire form, just fill in your name and phone number. We will contact you by phone for the remainder of the information.We will confirm this request for Survey by phone.

Please allow 12 hours for turn around time on all Email Forms.

DATE: (MM/DD/YY) 

ORDERED BY: 

Phone: 

Address: 

City:    State:   Zip Code: 

E-Mail: 

PURPOSE OF SURVEY:
(Check one) Purchase  Refinance  Other (specify) 

Other: 

Notes: 

PROPERTY ADDRESS: 

City:   State:   Zip Code: 

PURCHASER:
Borrower's name(s): 

Lender: 

Title Co: 

LEGAL DESCRIPTION: Lot:   Block: 

Subdivision: 

Plat Book:  Page: 

Other: 

CITY WATER & SEWER  LOCATE WELL & SEPTIC 

FLOOD ZONE INFORMATION: 

SELLER'S NAME: 

DATE NEEDED BY: 

CLOSING ATTORNEY: 

BY USING THIS SYSTEM YOU WILL BE ASSURED
OF BEING AT THE TOP OF OUR AGENDA!