PAYMENT INFORMATION

Payment Method

Credit Card
eCheck
COD
Bill Me

COD Payer

_______________________

COD Address

_______________________

COD Phone

_______________________

COD Email

_______________________

* Order Date

_______________________

YOUR CONTACT INFORMATION

* Client's First Name

_______________________

* Client's Last Name

_______________________

Company Name

_______________________

* Client Address

_______________________

* Client City

_______________________

* Client State

_______________________

* Client Zip

_______________________

* Client Email

_______________________

* Client Phone

_______________________

Client Fax

_______________________

Client Address 2

_______________________

Client's Title

_______________________

BORROWER INFORMATION

Loan Agent

_______________________

* Loan / Order Number

_______________________

Loan Type

FHA       Conventional      

* Borrower's Name

_______________________

FHA Case Number

_______________________

Borrower Address 1

_______________________

Borrower Address 2

_______________________

Borrower City

_______________________

Borrower State

_______________________

Borrower Zip

_______________________

Borrower Email

_______________________

Borrower Phone

_______________________

SUBJECT PROPERTY INFORMATION

Property County

_______________________

* Property Address - Street

_______________________

* Property City

_______________________

* Property State

_______________________

* Property Zip

_______________________

* Property Type

Condo
2-4 Unit
SFR
Modular
Unknown

* Purpose of Appraisal

Bankruptcy
Divorce
Estate Purposes
Fair Market
For Sale By Owner
Other
PMI Removal
REO
Refinance
Sale
Tax Appeal

Sale Price

$_______________________

Over $1 Million?

Yes       No      

* Appraisal Format

1004 Single Family (Full)
Operating Income Statement
Appraisal Update
Rental Survey
1025 2-4 Units
1004D Completion Certificate
1075 Exterior Condo
2055 Exterior SFR
1073 Condo (Full)
Field Review
Desk Review
Final Inspection
OIS + Rental Survey
1004 + Rental Survey + OIS

* Contact Name (On-Site)

_______________________

Contact Home (On-Site)

_______________________

Contact Office (On-Site)

_______________________

Contact Mobile (On-Site)

_______________________

Contact Fax (On-Site)

_______________________

* Property Address - Number

_______________________

Apt / Suite #

_______________________

REPORT OPTIONS

* Requested Due Date

_______________________

Targeted Lender

_______________________

Send PDF Report?

Yes       No      

Email Report To

_______________________

Report Notes

_______________________
_______________________
_______________________
_______________________
_______________________

Email CC 1

_______________________

Email CC 2

_______________________