Residential Appraisal Request Form
The appraisal is ordered by:
Name:
Company:
Address:
City:
Postal Code:
E-mail Address:
Telephone Number:
Fax Number:
Special Request, Instructions and Comments:
The appraisal to be sent to ( if different from above ):
Name:
Company:
Address:
City:
Postal Code:
E-mail Address:
Telephone Number:
Fax Number:
Special Request, Instructions and Comments:
Information on the property to be appraised:
Client/Purchaser Name:
Contact for Access (Property Inspection):
Telephone Number 1:
Telephone Number 2:
Property Address:
City:
Postal Code:
Legal Description:
Purchase Price/Estimated Value:
Property Type:
Single Family Dwelling
Duplex
3-Plex
4-Plex
Executive Dwelling
Other (Please indicate in Comments)
Client/Purchaser Pay
Broker Pay
Lender Pay
Special Request, Instructions and Comments: