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Customer First Name  

 
Last Name

 
Customer Telephone # (Home or Cell)

Other Customer Telephone #'s (not required)


Name of Lender

Address of Lender

Company Telephone #

Order # of Appraisal/Loan

Standard 1004 Single Family Fannie Mae 2055 Single Family Multifamily 2-4 Unit 1025 Condominium Exterior Drive-By Appraisal Other (Please Specify) Other
Type of Appraisal Requested

Pay at the Door Mailed Payment (for approved lenders) Other (Please Specify) Other
Method Appraiser Will Recieve Payment*

Standard Refinance Sale/Purchase
Purpose of Appraisal

Sales Price (only if applicable)

Date of Sale (only if applicable)


Borrower (only if applicable)

Address of Property to be Appraised

Is Property Vacant?

Yes No Unknown

Is Property Being Rented?

Yes No Unknown

Email Address of where appraisal is to be sent

Note: If the appraisal purpose is a sale we will need a copy of the basic contract information
It can be sent thru email Or fax

*Only Approved Lenders Can Send Mailed Payments Please call our office for more information
After 30 days of completion of an appraisal, the payment will be considered delinquent