Appraisal Request Form

Please read the important information to the right and then enter the information below and we will respond to your request as quickly as possible.

Information about You or Your Organization

First Name:*
Last Name:*

Company:
Address:
City:
State:
Zip:
Phone #:*
Fax #:
E-mail:*

Tell us about the assignment

Due date:
File or reference number:
Type of appraisal:
Type of property:
Rights appraised:
Loan amount:
Loan type:
Billing:  
Lender/Client:  
Same As Requesting Party
Name of occupant:
Name of borrower:

Tell us about the property

Address:
City:
State:
Zip:
County:
Legal Description:
Sales Price:

Contact information for access to property

Primary person to contact for access:
Daytime phone #:
Evening phone #
E-mail:
Secondary contact information
Daytime phone #:
Evening phone #:
E-mail:

Additional comments or instructions

* indicates a requried field.