| DESMARAIS ASSOCIATES, INC. Professional Land Surveyors 566 Rogers Street, Lowell, MA 01852 |
| NOTIFICATION TO PREPARE MORTGAGE INSPECTION PLAN |
| Email: dave@desmaraispls.com Web: www.desmaraispls.com |
| CITY / TOWN / STATE : |
| TODAY'S DATE : |
| PRESENT OWNER : |
| DEED REFERENCE : |
| APPLICANT'S NAME : |
| DUE DATE : |
| CERTIFICATION TO : |
| REMARKS / INFO : |
| ATTORNEY / LAW FIRM WITH ADDRESS : |
| SECRETARY / STAFF : |
| PHONE & FAX NUMBER : |
| EMAIL (LAW FIRM) : |