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Serving the Greater Area of

Los Angeles, CA

City of Los Angeles - Main Office Orders

General Information

Name and Address of Lender: Los Angeles Houston Dept., 1200 W. 7th St., Suite 827 L, Los Angeles, CA 90017

Additional Services:

Borrower Information: street, city, zip code, phone

Social Security Number (Last 4 digits only)

2nd Borrower Information: street, city, zip code, phone

2nd Borrower Social Security Number (Last 4 digits only)

Property Address: street, city, zip code, phone
Mailing Address of Borrower: if different from subject property

Refinance Amount:
New 1st Amount:
New 2nd Amount:
APN:
Lot & Tract:
Estimated Closing Date:

Loan Information

Loan Coordinator:
Loan Coordinator Email:
Company Phone:
Company Fax:

Notes:

Privacy Policy
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- This form may contain confidential material for the sole use by the intended recipient(s). Any review, use, distribution or disclosure by others is strictly prohibited. The information contained herein is intended to be used solely for the ordering of real estate information. Any other use of the information is also prohibited.