Your Contact Information:
Name:
Phone Number:
Email Address:
Lender Information:
Lender Name:
Lender Company:
Lender Address:
Lender Address 2:
Lender City, State Zip:
Loan Officer Name:
Loan Officer Phone:
Loan Officer Email:
Appraisal Payment Bill lender COD Other
Information about Property to be Appraised:
Borrower name:
Address line 1:
Address line 2:
City, State Zip:
Expected Closing Date:
Property type:	Single Family Condo Multi-Family (2-4 units) Vacant Land Commercial Other
If other please explain:
Appraisal Information:
Date appraisal should be completed by:
Purpose of appraisal:	Purchase Refinance Home-Equity Construction Loan PMI Removal Other
If other please explain:
Sales price of estimated value:
Loan type Conventional FHA
FHA Case #:
Loan Amount:
Additional Specifics, Comments, or Instructions: