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SERVICE REQUEST FORM
Request
for:
o Standard Flood Hazard
Determination (FEMA Form 81-93)
o Elevation Certificate (FEMA Form 81-31)
Address
of property:
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
Cadastral Number (Catastro):
____________________________________________________
Borrower: ____________________________________________________________________
Lender Number: _______________________________________________________________
Lender: _______________________________________________________________
Requested by: ____________________________________________________
Date
requested: ___________________________________________________
Please Fax this form to
(787) 261-5370
Internal Number: ______________________________