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Appraisal Order Form

Date Needed: *
Purchase: *
Refinance: *
Other?
Company Name: *
Company Address: *
City/State/Zip: *
Company Phone: *
Loan Officer: *
Loan Officer Phone: *
Loan Officer E-Mail: *
Processor Name: *
Processor Phone: *
Processor E-Mail: *
Property Address: *
City/State/Zip: *
Owner (s) Name: *
Contact Owner for Entry? *
Owner Phone (Home):
Owner Phone (Work):
Owner Phone (Cellular):
Borrower Name (s): *
Contact Borrower for Entry? *
Borrower Phone (Home):
Borrower Phone (Work):
Borrower Phone (Cellular):
Contact Listing Realtor for Entry? *
Listing Realtor Name:
Listing Realtor Phone (Work):
Listing Realtor Phone (Cellular):
Full Appraisal (Form 1004):
Drive by (Form 2055) (with interior insp.) :
Drive by (Form 2055) (NO interior insp.) :
Drive by (Form 2065/75) (with interior insp.) :
FHA Case # (if FHA):
Income Property (Up to 4 Units):
Rent Comparison :
Income & Ops Statement:
Other Appraisal Type?
Contract Price/ Value $
Sales Contract - # of pages?
Sales Contract (FAXED 719-265-1739) :
Sales Contract E-Mailed:
Report Delivery Contact:
Report Delivery E-Mail: