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/-J.Jq f. J eTl, 200805516 BrokerlVendor ~lniburscment Fonn Countrywide'Home Loans ,. ... ..> . BROKERtVENDOR REIMBURSEM:ENT F0R.M. . , ". . " , ""'."; . . . **~*THIS FORM TO BE USED TO SUBMIT REPAIRBILLSONL y**** . INSTRUCTIONS: . 1) THIS FORM MUST BE COMPLETELY FILLED OUT - ALL REIMBURSEABLE ITltMsrro BE PAID DIRECTLY TO VENDOR BY COUNTRYWIDE) OF $1.000 OR OVER MUST BE ACCOMPANIED BY A NOTARIZED WAIVER OF LIEN..BILLS SUBMIlTED WITHOUTTHISFORM WILL BE RETURNED. THESE PAYMENTS WILL BE MADE TO THE VENDOR DIRECTLY FROM COUNTRYWIDE. 2)PAOTOSOF COMPLETED WORk. ARE TO ACCOMPANY THIS REIMBURSEMENT REQUEST. PAYMENTS CANNOT BE MADE WITHOUT THE VERIFICATION (PHOTO) OF COMPLETION. . 3)INCLUOE REO # ON ALL BILLS - MORTGAGORIS NAME IS FORMER OWNER. . 4) .REiJAIRS MUST BE ITEMIZED. A IT ACH COPIES OF THE ORIGINAL BILL AND THE CHECK USED FOR PAYMENT. ,BOTH ITEMS ARE NEEDED,FORREIMBURSEMENT. : 5)' :A,COMPLE:TEDW-9 WILL NEED TO BE SUBMIlTED IF NOT ALREppY ALL FILE. ; 6) '.BILLSMUST BESUBMITTEDIMMEDIA rELY UPON COMPLETIONOFREPAIRfS)... NO EXCEPTIONS. VEND~RS ARE TO BE PAID WITHIN 30 DAYS OF SERVICES RENDERED. ' . . ; 7) ALL REPAIRS ARE,TO BE.PAID PRIOR TO CLOSING.. j 8) ANY QUESTIONS IN REGARDS TO REPAIRS, PLEASE CONTACT OU:RASSET MANAGER. : DATE: REO#: MORTGAGOR: ... . ... . .......... . PROPERTYADDRESS:u. . ... ......:' .... \..{ L1 l-t]r'"\ . .. .. .. . (,-ra." d-- -, ') la" t~ lit:; ~jOo I ' . Ol 03 PHONE NO: ' TAX ID: Lf'l'" 0 ..., ..-" DATE CHECK# Offiee Use Only lran Codes . TOTAL .~ ,0,. . I CERTIFY THAT niE ABOVE REPAIRS HAVE BEEN INSPECTED BY ME AND HAVE BEEN COM~LE'rED INA WORKMANLIKE FASHION: '. Date: (NEED ORIGINAL SIGNATURE) (PLEASE PRINT) MAIL FORM TO: COUNTRYWIDE. REO MARKETING Attention: 2380 Performance Drive Mail. Stop RgV-C-81 Richardson, TX 75082 OfticeUse Only: Vendor # ',: Asset M,anager's Approval Date Acq. Type CU". Stat. . .' . D CD ^ TO 'OU"'T'T Tn...,co n ..,.......,,, r........