order a residential appraisal

Date

Client/Lender

Client Address

Client Phone Number

Client Fax Number

Email address for Report Delivery

Loan Officer/Contact

Owner/Buyer

Owner/Buyer Home Phone

Owner/Buyer Work Phone

County of Property

Property Address

Purpose of Appraisal

	Personal Home Appraisal
	Purchase
	Refinance
	2nd Mortgage
	Contract Payoff
	Other

Appraisal Type

	FNMA 1004
	REO
	FNMA 2055
	2-4 Family
	ERC
	FHA
	2000 Field Review
	Vacant Land
	Inspections
	Form 2075
	Single Family Rentals
	Review Appraisal
	Personal Home Appraisal

Selling Price (if applicable)

Loan Amount

Other Contact (such as listing/selling realtor)

Agent

Office

Phone

Special Instructions