Appraisal Type: 1004 Multi-family 2055 704 Fee: $______ COD__ Bill__

Ordered By: ___________________________________ Phone: ____________

Company: _______________________________________________________
Billing Address: ___________________________________________________
City: ____________ Zip: __________ Email: ____________________________
Property Street Address: ____________________________________________
Subdivision: _____________________________________________________
City: ______________ County: ______________ ZIP: __________

Borrower Name: Primary: _______________________________
Home Phone: __________ Work Phone: _____________
Cell Phone: ___________
Secondary: _____________________________
Home Phone: ___________ Work Phone: ____________
Cell Phone: ____________

Purpose of Appraisal: Sale Refinance Sales Purposes Estate Foreclosure
Estimated Value: $____________ Minimum Value Needed $___________
Improvement Information
Style________ Stories___ Exterior: Brick Stucco Frame Log Year Built: _____
Basement: Full Partial None Finished Basement: Yes_ No_ Lot Size: ______
Parking: Garage Carport Attached Detached Built-in Number of Cars: ____
Other: Fireplace(s)___ Porch Deck Patio Screen Porch Fence Pool
Comments: