Business/Lender

Complete this form and press the Submit button at the bottom of the form to order an appraisal service. Fields beginning with a BLUE letter are required.
You will receive a confirmation containing schedule information.


	On-Line Order

	Confirm My Order By:



	Return date requested:



	Requested By:



	Company Name:



	Company Address:

City:

State:

Zip Code:


	Phone Number:



	Fax Number::



	E-MAIL:


	Property Information

	File #:


	Appraisal Type:



	Special Instructions:


	View the Fee Schedule


	(If Other) Delivery Instructions:


	Full Name of Borrower:



	Address of Property:

City:

State:

Zip Code:


	Name of Contact:

Agent

Owner

Other


	Contact Daytime Phone Number



	Evening Contact Phone Number:



	Purchase/Sale Price:



		Loan Type:



		Miscellaneaous Information: