APPRAISAL REQUEST

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     Please complete the Appraisal Request Form below,
      The sections with the *Asterisk are Required!   Thank You...
 

     Lender Information:  ________________________________________________________

Lender Name *
Address *
City *
State *
Zip Code *
Phone *
Fax
Email *
Additional Email

     Loan Information:  __________________________________________________________

Loan Type *
Form Type *
Investor
Investor Address
In The Name Of?
Invoiced To?
Case / Loan Number
Order Date
 mm/dd/yyyy
Loan Amount
 $
Sale Price
 $
Estimated Value *
 $
Sale Date
 mm/dd/yyyy

     Property Information:  ______________________________________________________

Property Type *
Address? *
City *
State *
Zip Code *
County *

     Contact Information 1:  _____________________________________________________

Name *
Home Phone *
Cell Phone
Email
Work
Pager
Best Time To Call

     Contact Information 2:  _____________________________________________________

Name
Home Phone
Cell Phone
Email
Work
Pager
Best Time To Call

     Borrower:  __________________________________________________________________

First Name *
Last Name *

     Co-Borrower:  ______________________________________________________________

First Name
Last Name

     Comments:  ________________________________________________________________
 


 

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