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<br />/IJq, f. ,I f/#' <br /> <br />200805516 <br /> <br /> <br />.Countrywide Home Loans .... '., ., .., ........... .. <br />BROKERtVENDOR REIMBURSEMENT If:~RM. <br />**lIc*THIS FORM TO BE USED TO SUBMIT REPAIR.BILLSQNL y**** ! <br /> <br /> <br />i <br /> <br />. iNSTRUCTIONS: . .. <br />1) THIS FORM MUST BE COMPLETELY FILLED OUT - ALL REIMBURS:EABLE ITEMS (TO BE PAID DlRECTL Y TO <br />VENDOI{ BY COUNTRYWIDE) OF $1.000 OR OVER MusT BE ACCOMPANIED BY A NOTARIZED WAIVER OF <br />LIEN..BILLS SUBMITTED WITHOUTTHIS FORM WILL BE RETURNED. THESE PAYMENTS WILL BE MADE TO THE <br />VENDOR bIRECTL Y FROM COUNTRYWIDE. <br />2) PHOTOS OF COMPLETED WORK ARE TO ACCOMPANY THIS REIMBURSEMENT REQUEST. PAYMENTS <br />CANNOT BE MADE WITHOUT THE VERIFICATION (PHOTO) OF COMPLETION. <br />3)INCLUbEREO # ON ALL BILLS - MORTGAGOR'S NAME IS FORMER OWNER. <br />4) . REPAIRS MUSTBEITEMIZED. ATTACH COPIES OF THE ORIGINAl. BILL AND THE CHECK USED FOR PAYMENT. <br />. ,BOTH ITEMS ARE NEEDED.FOR REIMBURSEMENT. [ ; <br />.5) ACOMPLETEDW~!) WILL NEE:DTO BE SUBMITTED IF NOT ALRE:...IDY ALL FILE. <br />.(;r 'BiLLSMUST BESUBMITrEDIMMEDIA rELY UPON COMPLETIONOFREPAIRfSJ. NO EXCEPTIONS. VEND9RS <br />ARE TO .BE PAID WITHIN 30 DAYS OF SERVICES RENDERED. ' ; <br />7) ALL REPAIRS ARE TO lJE.PAID PRIOR TO CLOSING. . <br />8) ANY QUESTIONS IN REGARDS TO REPAIRS, PLEASE CONTACT OU~ ASSET MANAGER. <br /> <br />PHONE NO: . <br />T AXlD: loft... 0., <br /> <br /> <br />6'3 <br /> <br />DATE: <br />REO#: <br />MORTGAGOR: <br />PROPERTYADDRESS:, . '.',.... .. <br />1 ~ ~- \~f-t\.. . <br />, . r. -:...., \c:tll I~ , .Ill':: ~~fo I <br /> <br /> <br />--' <br /> <br />DATE <br />CHECK# <br /> <br /> <br />DATE(S) OF SERVICE <br />i <br /> <br />AMOUNT <br /> <br />Otlice Use Only <br />'fl'lln Codes <br /> <br /> <br /> <br />I <br /> <br />. TOTAL Z, . ... ' ~.'33Co If, ?G':} <br />I CERTIFY THAT THE ABOVE REPAIRS HAVE BEEN INSPECTED BY ME AND HAVE BEEN COMPLETED INA : <br />. . ' . ! <br />WORKMANLIKE FASHION: '. . .. .....$4~ l?. .lf~ <br /> <br />Date: ~ . <br />(NEED ORIGINAL SIGNATURE) (PLEASE PRINT) <br />MAIL FORM TO: COUNTRYWIDE. REO MARKETING Attention: <br />. 2380 Performance Drive <br />MailStop RgV-C-81 <br />Richardson, TX 75082 <br /> <br />omceUse Only: <br /> <br />Vendor # <br /> <br />.. ,. ASset Manager's Approval <br /> <br />Date <br /> <br />Acq. Type <br /> <br />.:...... <br /> <br />C",.,.. Stat. <br /> <br />~PPA IDtiTI"'TT TD[;'(." D[;'/"'[;'nT[;'T'\ <br />