Online Apprasial Order Form

* Indicates Required Information

Your Information
*Name:
Email:
Company:
*Address:
Address:
*City:	*St: *Zip:
*Phone	Ext: Fax:
Property Information
*Address:
*City:	*St: *Zip:
*Borrower:
Owner:
Sale Price:
Loan Amount:
Estimated Value:	Estimated value is not an indicator of value, and not a contingency of this order.
*Property Type:	Single Family Duplex Triplex Condominium Vacant Land REO Other
*Loan Purpose:	Refinance Purchase PMI Release Other
*Existing:	Yes No
*Occupant:	Owner Tenant Vacant
Inspection Information:
*Call:	Owner Tenant Buyer Broker Agent Property Manager Other
*Name:
*Phone
Alternate Phone:
Report Options:
Reqired Due Date:
Requested Service:	Full Appraisal URAR Limited Appraisal 2055 Other (Specify in Notes) Exterior Only 2075 Final Inspection 422 Multi-Family 1094
*Delivery:	Via Email US Mail Priority US Mail Next Day US Mail 2nd Day UPS Next Day UPS 2nd Day Other (Specify in Notes) When USPS no guarantees are made about delivery times or dates
*Payment:	Invoice You (net 30 Days) Collect at Door Other (Specify in Notes
Special Instructions:
Statement of Services:	This order serves as authorization to prepare a valuation analysis of the property identified herein. The purpose of the valuation anaylsis is to establish market value (as defined in the Uniform Standards of Professional Appraisal Practice) of the subject property as of the effective date of the valuation analysis. I Agree