Appraisal Request


Appraisal Order Requested By:

Company Name:
Ordered by:
Email:
Address:
City:
State:
Zip:
Phone:
Fax:
Property to be Appraised:
Borrower:
Property Address:
City:
State:
Zip:
County:

Entry or contact information:

Contact Person:
Home Phone:
Work Phone:
Other Phone:
Transaction Details:
Please check one Sale                  Refinance
2nd Mortgage    Equity Line

If this is a sale, please fax a copy of the sales contract to: (770) 466-6073

Please enter the sale price or your best estimate of fair market value:

based on

Please check type of appraisal: Single family residential
Condo
Land
Multi Family-duplex
Triplex
Quad
Investment
Other

Lender's name to type on appraisal if different from above:

Payment Options:
Person responsible for payment of appraisal:
Customer to pay by: (check one) Cash       Check     MO
Visa/MC  Discover  AMEX
Amount:
Comments:

Thank You!