Order Appraisal                                                                Required Field*

Client/Lender Info:
Company Name *:		Contact *:
Street Address *:
City:	State:	Zip:
Phone *:	Fax:	Email *:
Property to be appraised Info:
Name of present / prospective owner *:
Street Address *:
City *:	State *:	Zip:
Home Phone *:		Work Phone:
Property Type:
Single Family/PUD			Condominium
2-4 unit Multi-Family			Vacant Land
Purpose of Appraisal:
Refinance	Purchase		PMI Removal
Probate	Tax Appeal		Casualty Loss
Divorce
Method of Payment:
Collect at Door	Bill Client
Additional Information:
Purchase Price:		Estimated Value:
Loan Amount:
Additional Comments: