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Appraisal Associates of Western PA, Inc.


PO Box 606
Clarion, PA 16214
Phone: 814-226-9700
Fax: 814-226-9677 

Online Order Form

Submit your order by filling out this form and clicking the button at the bottom of the page. Asterisked (*) fields are required.

Or print our order form ^ that you can fill out by hand and fax to us at 814-226-9677

 

PAYMENT INFORMATION

Order Date

*

Payment Method

 COD
 Bill
 Credit Card
*

COD Payer

COD Address

COD Phone

COD Email


 

YOUR CONTACT INFORMATION

Client's Title

Client's First Name

*

Client's Last Name

*

Company Name

Client Address

*

Client Address2

Client City

*

Client State

*

Client Zip

*

Client Email

*

Client Phone

*

Client Fax


 

SUBJECT PROPERTY INFORMATION

Loan Agent

Loan / Order Number

*

Loan Type

 FHA
 Conventional

FHA Case #

Property County

Property Address

*

Property City

*

Property State

*

Property Zip

*

Borrower's Name

*

Occupancy

*

Property Type

*

Purpose of Appraisal

*

Sale Price

$

Over $1 Million?

 Yes
 No

Appraisal Format

*

Contact Name

*

Contact Home

Contact Office

Contact Mobile

Contact Fax

Form of Payment

*


 

REPORT OPTIONS

Requested Due Date

*

Targeted Lender

Send PDF Report?

 Yes
 No

Email Report To

Email CC 1

Email CC 2

Notes


 

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