Date:
Ordered By:
Due Date:
Property Address: City: State: Zip Code:
Legal Description/Parcel #:
Company: Phone: Work:
Cell:
Alternate:
Borrowers Name: Phone: Work:
Cell:
Alternate:
Type of Request: Please Check All That Apply
Full Appraisal Final Inspection
Form 2055: Exterior Only Exterior/Interior
Form2075 Exterior Only
Vacant Land
Manufactured Home
Single Family
Condo
TownHome
PatioHome
MultiFamily Home 2X 3X 4X
Investment Property: Additional fee of $125.00 will apply
FHA Sale Refinance 2nd Mortgage
Sales Price Loan Amount Estimated Value
Lock Box: Yes No
Contact for Entry: Phone: Alternate
Payment: Collect Fee at time of Appraisal Invoice Company
Additional NOTE: Please Fax or E-Mail Contract with all orders
Information: Please write any information that will help speed up the Appraisal process
