APPRAISAL REQUEST FORM
Date Requested COD Bill

Company Contact Person

Email Phone Number
Address of Property:
Street

City Zip Code

Borrower Owner/Seller

Sale Price/Value $ Loan Amount $

Purchase Refinance LOC             FHA? Yes No                  
Contact Information for Access into the Property:
Name Phone #
Type of Appraisal Needed:
1004 1004D Ext. 2055 1025 1073 704 71B Other
Property Type:
Single Family Condominium Townhouse
2-4 unit Mixed Use (# of units) Multi Family (# of units)
Additional Comments/Special Instructions:


Date Appraisal is Needed
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