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Please, fill in all items applicable to your request

Order Appraisal Request Form


Client/Requestor Information
  
Requested by:
Title:
Company:
Address:  
Address:
City:  
State:
Zip:  
   
Work Phone:
Fax:
E-Mail:  
   
Lender Name:  
Lender Phone Number:
Comments:
Lender E-Mail:  
   
   
Primary Contact Person for Property Access
   
Name:
Work Phone:
Home Phone:
Mobile Phone:
Fax:
Email:
   
   
Secondary Contact Person for Property Access
   
Name:
Work Phone:
Home Phone:
Mobile Phone:
Fax:
Email:
   
   
Listing agent
   
Name:
Work Phone:
Home Phone:
Mobile Phone:
Fax:
Email:
   
   
Selling Agent
   
Name:
Work Phone:
Home Phone:
Mobile Phone:
Fax:
Email:
   
   

Borrower Information

  
   
Borrower's Name:
Address:
Address:
City:
State:
Zip:
Phone:
Alternate Phone:
   

Subject Property Information

   
Address:
Address:
City:
State:
Zip:
Description:
   
Property Type:
If other, please explain:
   
Report Type:
   
   
Loan Information
  
   
Loan Type
If other, please explain:
Case Number: (FHA loan only)
   
   

Appraisal Information

  
   
Purpose for Appraisal:
If other, please explain
   
Number of Originals Required:
Number of Copies Required:
Date Needed:
Additional Instructions:
Return Delivery:
If other, please explain:
   
Account Number:
Estimated Value:
Purchase Price: (if applicable)
Loan Amount:
   
   
Payment Information
 
   
Payment Type:
Comments: