Appraisal Order Form

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Client: 
Street: 
City:  
State: 
Zip: 
Phone: 
Fax:   
Ordered by: 

Need in less than 5 working days? (Rush)

Yes No

TYPE OF APPRAISAL

Purchase Refinance Relocation Estate Foreclosure Construction Loan Home Improvement Listing Price Litigation Tax Appeal Other

Borrower:  

SUBJECT PROPERTY

Subject Address: 
Subject City: 
Subject Zip:  

LEGAL DESCRIPTION

LOT: 
BLOCK: 
SECTION: 
SUBDIVISION:  

LOAN INFORMATION

Sales Price Anticipated Value

Sales Price/Anticipated Value: 

Loan Amount LTV %

Loan Amount/LTV:  
Term in years: 
Seller points: 
Interest rate:  
Sales concessions: 

Contact(s) for Entry (Check one which is applicable)

Borrower Other (not agent)

Contact preference:  
Other contact:  
Home phone: 
Phone Mr Work: 
Phone Mrs Work: 
Agent:  

Listing Selling

Agent Office: 
Agent phone: 
Agent Alt phone: 

Comments:

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