APPRAISAL REQUEST FORM
Date Requested COD Bill

Company Contact Person

Email Phone Number

Address of Property:
Street

City Zip Code

Borrower Owner/Seller

Borrower Email

Sale Price/Value $ Loan Amount $

Purchase Refinance LOC             FHA? Yes No
                 
Contact Information for Access into the Property:
Name Phone #

Contact Email

Type of Appraisal Needed:
1004D Update 1004D Final Ext. 2055 1025 1073
1075 216  704  1007  71B Other

Property Type:
Single Family Condominium Townhouse
2-4 unit Mixed Use (# of units) Multi Family (# of units)

Additional Comments/Special Instructions:


Date Appraisal is Needed
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