ValueQuest Appraisal

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Appraisal Order Form

 

Please Note: an * indicates a required field

Client Information

Company Name:*
Street Address:*
City:*
State:*
Zip Code:*
Telephone:*
Fax:
E-Mail:*
Contact Person:*

 

Borrower Information

Borrower #1's Name:*
Home Phone*
Work Phone*
Cell Phone
Borrower #2's Name:
Home phone
Work Phone     
Cell Phone

 

Property & Loan Information

Is this a Rush?*
($125.00 Fee applies)
Yes No
Payment Method?:* COD Credit Card 
Street Address:*
City:*
State:*
Zip Code:*
County:
Purpose of Appraisal*
Type of Property:*
Sales Price: (if applicable) $

 

Real Estate Agent (Contact Info) 

Name of Real Estate Agency:
Listing Agent's Name:
Agent's Office Phone:
Agent's Other Phone:

 

      Notes to the Appraiser  (please be specific)       

 

Attempts to establish an appointment to inspect the subject property will be made upon receipt of this order.

 

 

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