Appraisal Request Form

PROPERTY CLASSIFICATION: Single Family Residential            2-4 Family           Vacant Land           Commercial           

TYPE OF APPRAISAL:  1004-Single Family       1004-FHA/FmHa/RECD Appraisal         1004-REO          2-4 Family (1025 - Multi)          ERC - Relocation        2055 Exterior        2055 Interior        FNMA 2000 Field Review        Desk Review       

APPRAISAL PURPOSE:  Purchase        Refinance        New Construction        REO/Foreclosure       Relocation       Rehabilitation        Divorce        Final Inspection                

PROPERTY ADDRESS:______________________________________________________________

CITY, STATE & ZIP:_______________________________________________________________

PROPERTY OWNER’S NAME:______________________________ PHONE:___________________

BORROWERS NAME:____________________________________ PHONE:___________________

CONTACT FOR INSPECTION:_____________________________ PHONE:____________________

If property is being sold by realty company, please provide listing and selling agent names and phone numbers.

LISTING AGENT:_______________________________________ PHONE:___________________

SELLING AGENT:_______________________________________ PHONE:___________________

PURCHASE PRICE:___________________________ EST. VALUE:___________________________

LOAN AMOUNT:_____________________________ TYPE OF LOAN:_________________________

Please provide any known information such as lot size, home style, square footage, basement, view, etc.

_______________________________________________________________________________

PAYMENT:   Pre-pay by client / Collect at inspection

CLIENT SIGNATURE: ____________________________________ DATE:____________________

This appraisal will be performed for the sole and exclusive use of the above client. Appraisal will be
performed to estimate the market value of the above property. It will be assumed that the above
property has fee simple interest, if otherwise please advise. The appraisal will be prepared in accordance with the Uniform Standards of Professional Appraisal Practice. A Statement of Limiting Conditions and Appraiser’s Certification will be attached to all appraisals prepared by this office.

Provide a PDF or EDI Email address (above) or overnight shipping company and account number if you would like report sent differently.

Thank you for your business.