Appraisal Request
Order Form
Company Information
Company Name:
Company Address:
City:
State:
CA
AL
AK
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code:
Contact Information
Ordered By:
Phone:
E-mail:
Fax:
Borrower Information
Borrower:
Phone:
Subject Street Address:
City & Zipcode:
Property Information
Access to Property:
Phone:
Purpose of Appraisal
Refinance
Purchase
Purchase Price $
Other (describe):
Type of Appraisal:
(fees are typical and are subject to change for unique properties)
SFR (Conventional) $375.00
(with a Rent Survey) $475.00
Vacant Land $275.00
Multi-Residential 2-4 Units $600
FHA $400.00
FHA Case #
Appraisal Fee Payment Method:
Send invoice to Company/Lender
OR Collect COD from Borrower
VISA, MASTERCARD, & DISCOVER accepted
(call 661-722-1992 to make payment)
Signature of person authorizing request and payment.
By entering in your initials you are agreeing to the terms and conditions
Enter in your initals:
Special Instructions / Comments for appraiser: