LENDER INFORMATION

Loan Company:

*First Name:

You must enter your first name.

*Last Name:

You must enter your last name.

City:

Address:

Address 2:

State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip:

*Phone:

Phone number must use this format: 555-555-5555.

Fax:

Email:

You must enter your email address.

APPRAISAL ORDER INFORMATION

Service Requested: Appraisal Review Appraisal Update Commercial Appraisal Complete Certificate Desktop Property Valuation Driveby Exterior Inspection Income Property Appraisal Inspection Recent Survey Other

Other Services:

Purpose: Construction Divorce Estate Planning Purchase Refinance Second Mortgage Other

Other Purposes:

Delivery Method: Email Fax Mail Other

Payment Method: Collection at Inspection Contract Invoice Purchase Order Other

FHA Number:

LOAN INFORMATION

Borrower First Name:

Borrower Last Name:

Loan Amount:

Loan Number:

Loan to Value:

Value Estimate:

PROPERTY INFORMATION

Property Type: Church Commercial Condominium Cooperative Farm Home and Business Combined Manufacture/Mobile Home Mixed Use Residential Multifamily - More Than Four Units Single Family Residential Townhouse Two to Four Unit Property Vacant Land Other

Other Property Type:

Address:

City:

State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip:

Total Rooms:

Bedrooms:

Bathrooms:

Property Comments:

CONTACT FOR ACCESS INFORMATION

Occupancy: Owner Tenant Vacant

Contact 1: Borrower Builder CoBorrower Occupant Owner Realtor Other

Time to Call:

AM PM

Name:

Phone:

Time to Call:





AM PM

Name:

Phone:

Time to Call:





AM PM

Name:

Phone:

Other Comments: