Printable Survey Order Form
Customer No: _________________    Our Job No: _______________     Date: ____________
Ordered By: ______________________________________________
Firm: ____________________________________________________________
Address: _________________________________________________________
Phone/Fax: __________________
Survey Purpose:   ____ *Purchase   ____ *Refinance   ____ Permit   ____Other
Type of Loan:  ____ FHA   ____VA   ____Conventional   ____ Other
Notes: __________________________________________________
Property Address: ________________________________________________________________
Certify To
Borrower's Name: ____________________________________________
Lender: __________________________________     Phone: _______________
Title Company: ____________________________      Phone: _______________
Underwriter: ________________________________________________
Legal Description
Lot: _______________       Block: _______________
Subdivision: ________________________________________________
Plat Book: _____________________    Page: ______
Other: _______________________________________________________________________
____ City Water     ____**Well      ____ Septic
Flood Zone: _____________________    Flood Map No: _____________________
Seller's Name: ______________________________________
***Date: __________________________
Needed By: _____________________
Deliver To: _____________________________________________________________________
Special Instructions:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
*IF PURCHASE OR REFINANCE, PLEASE CHECK TYPE OF LOAN. **FHA REQUIRES WELL AND SEPTIC TANKS LOCATED ON PROPERTIES THAT HAVE THEM. ***IF NEEDED IN LESS THAN 5 BUSINESS DAYS, SPECIFY DATE. PLEASE DO NOT USE "ASAP" OR "RUSH". IF LEFT BLANK, SURVEY WILL BE COMPLETED IN 3 - 5 BUSINESS DAYS.