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Appraisal Order Form


Lender Information:
Company:
Loan Officer:
Ordered By:
E-Mail:
Phone:
Fax:

Billing Information
Address:
City:
State:
Zip:
Mailing Information
Address:
City:
State:
Zip:


Property Information:
Property Address:
County:
Township:
Property Owner's Name:
Borrower's Name:
Contact Name (To View Property):
Contact Phone:


Form Type:
Full URAR
Limited 2055 Interior/Exterior
ERC Relocation
Vacant Land
Other:


Reason For Appraisal:
Sale
Purchase
Relocation
Estate
Refinance
Other:


Delivery Instructions:
US Postal Service
Federal Express Acct#:
UPS Acct#:
Fax
E-Mail


Method Of Payment:
Pay On Delivery
Collect At Door
Bill Me (Net 30 days; 18% APR for balances not paid within 30 days of invoice date)