Appraisal Request Form

Required fields are marked with a red asterisk.

Information about You or Your Organization

First Name:*
Last Name:*
Company:*
Address:
City:
State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming
Zip:
Phone#:*
Fax#:
E-mail: *

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Tell us about the assignment

Due date:
File or reference number:
Type of appraisal:	Select Appraisal Type 1004 URAR 2055 Exterior Multifamily 465/1073 Condo 2070 Property Inspection 2075 Desktop Property Inspection Land Appraisal Income Property Desk Review Field Review Other - Describe Below
Type of property:	Select Property Type Single Family Condo Duplex Triplex Quad Vacant Land Other (Explain)
Rights appraised:	Select Property Rights Fee Simple Leasehold Leased Fee
Loan amount:
Loan type:	Select Loan Type Conventional - Refinance Conventional - Purchase Purchase Refinance
Billing:	Collect from Borrower On Account Reply with Fee Quote
Lender/Client:	Same As Requesting Party
Property Address:*
Property City:*
Name of occupant:
Phone#:*
Name of borrower:
Comments:

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