Order Form

* Required Fields
Property Information

Address: *
City/State/Zip Code: *
Municipality: *
County: *

Borrower Information

Owner's Name, (Seller): *
Purchaser's Name:
Access to Property: *
Phone Number (Residence): *
(Work):
(Other):

Loan Information

Estimate of Value:
Mortgage Amt:
Sales Price:
Interest Rate:
Terms:

Documents
Check Reports that will be provided to the appraiser.

 Sales Agreements
 Deed
 Survey/Plot
 Plans/Specs

Order Form Type  * required
Select the order form type.

 2055 Interior w/ comp photos   2055 Interior w/o comp photos
 2055 Exterior w/ comp photos   2055 Exterior w/o comp photos
 1004 Full
 Multi 2-4 Units
 Other (Please Specify): 

Client Information

Company Name: *
Address: *
City/State/Zip Code: *
Telephone: *
Fax:
Contact: *
Email: *
Billing Instructions:  Invoice   COD *

Lender Information
Lenders name to appear on the appraisal

Name:
Address:
City/State/Zip Code:

Mailing Information
Where to ship the appraisal, or email for PDF

Company:
Contact Name:
Address:
City/State/Zip Code:
Overnight Service:
Acct #:

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