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Your Name:
Company Name:
Your Phone Number:
Your Fax Number:
Your E-Mail Address:
Street Address:
City:
State:
Zip:
Information about the property to be appraised (subject property):
Borrower's Name:
Subject Address:
City:
State:
Zip:
Sales Price:
Or Estimated Value:
Type Property:
-Select Property Type-
Single Family Detached
Free Simple Townhouse
Condominium
Apartments
Land/Lot
Other(specify)
Purpose of Appraisal:
-Select Purpose-
Sales Contract
Refinance
Help to Set Sales Price
Property Settlement
PMI Removal
Proposed Construction
Estate Taxes
Relocation
Other (specify)
Contact for Access:
Phone (day or work):
Phone (home):
Special Instructions and Comments. Also please explain any "OTHER" selections from above:
Order Form
Entire Form Must Be
Completed Before Order
Can Be Processed