Address:___________________________________________________________________

Ordered by: _______________________________________________________________

City & state: ____________________________________________ ZIP _______________

Phone _______________________________ Fax _________________________________

Property address:___________________________________________________________

City & state: _________________________zip________ county_____________________

If a deed or plat is available , please fax it with the order.

List any unique features of house or site ______________________________________

 __________________________________________________________________________

Home phone: ____________ work phone: _____________ other:______________

If this is a sale, please fax a copy of the sales contract with the order.

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

$__________________ based on: ____________________________________________

Please check type of appraisal:

___Single family residential   ___Condominium

___Land only   ___2-4 Family residential  ___Single family rental unit  ___  other__________

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

 ___________________________________________________________________________________