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REAL ESTATE APPRAISALS

Red denotes required information.

Company Name:

Address:

City:

  State:   Zip:

Contact Person:

Contact / Cell Phone:

Fax Number:

Email Address:


Transaction Type:

Refinance

Purchase

Appraisal Type:

Other:

Delivery Method:

Email

By Mail

Please confirm your email and / or mailaing address.


Borrower Name:

Co-Borrower:

Home Phone:

Work Phone:

Cell / Alternate:

Subject Address:

City:

  State:   Zip:


Property Type:

   Other:


Subject Property Information:

 

 

Square Footage  Bedroom(s)  Bath(s)  

Additions:    Permits for addition: Yes   No

Year Built:              Pool / Spa: Yes   No


Loan Information:

 

 

 

Occupanct:    Other:

Estimated Value: $   Loan Amount: $


Payment Method:

   Other:

 

Due Date: Pick a date

Comments / Instructions:

 

 

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