Order Appraisal

Introduction (please include all info):

Date Requested (mm/dd/yyyy):

Loan Type (FHA or Conventional):

FHA Case Number:

Property Full Address (Street, City):

Borrower's Name:

What is the purpose for this appraisal? (please select one choice):

Sales? Please share Sales Price:

Refinance? Please share Estimated Home Value:

Estate Purposes? Please share Date of Death (mm/dd/yyyy):

Divorce? Please state yes if appraisal is for divorce purposes.

Other? Please state yes if appraisal is for some other purpose.

Requestor Information (please include all info):

Company Name:

Full Address (Street, City, State, Zip):

Phone Number (ie. 111-111-1111):

Fax (ie. 111-111-1111):

Loan Officer:

Processor:

E-mail Address:

Secondary E-mail Address (this address will be cc'd on all correspondence):

Would you prefer to receive the appraisal by e-mail in PDF format? (Yes/No):

Structure Type (please select one choice):

• Single Family
• Duplex
• Triplex
• Fourplex
• Halfplex
• Condominium
• Manufactured Home

Appraisal Type (please select one choice):

• Full Appraisal
• 2055 Exterior
• 2075
• 203K
• Desk Review
• Field Review
• Vacant Land
• Other (If "Other", what type?)

1007 Rent Survey? (Yes/No):

216 Operating Income Statement? (Yes/No):

Finalization (please include all info):

Appraisal Fee to be paid by (choose either "C.O.D." or "Lender"):

Please note: If C.O.D., the appraisal will be released after appraiser receives fee.

Whom should we contact to set an appointment?:

How can we contact them? (Work, Home, Cell; ie. 111-111-1111):

Any Remaining Special Instructions?: