House Appraisal Order Form
Please, note fields marked with * are mandatory
REPORT TYPE
FULL
DRIVE-BY
DESKTOP
FINAL INSPECTION
RELOCATION
ORDERED BY
NAME *
COMPANY
ADDRESS
CITY
TEL. *
(
)
-
FAX
(
)
-
EMAIL *
LENDER INFORMATION
COMPANY
ADDRESS
CITY
TEL.
(
)
-
FAX
(
)
-
EMAIL
PROPERTY INFORMATION
ADDRESS *
CITY *
NUMBER OF UNITS
SINGLE FAMILY
DUPLEX
TRIPLEX
FOURPLEX
PURPOSE OF APPRAISAL
PURCHASE
REFINANCE
RELOCATION
OTHER
PURCHASE PRICE
ESTIMATED VALUE
REFINANCE AMOUNT
LOAN TO VALUE
LENDER REFERENCE#
APPLICANT NAME *
TEL.
(
)
-
CELL.
(
)
-
CONTACT FOR ACCESS
NAME *
TEL. *
(
)
-
CELL.
(
)
-
OFFICE TEL.
(
)
-
ADDITIONAL COMMENTS
HOME
/
About Us
/
Order
/
Links
/
Contact Us