Commercial Appraisal Request Form

Today's Date:

-- mm/dd/yy

Requested By:

First Name
Last Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
E-Mail
Office Phone
Fax Phone
Direct Phone
Other Phone
Referred By

How did you hear about us?

Regular R.A. Field Client Qwest Dex Telephone Book Yellow Book Telephone Book Red Ox Cafe Other

Type of report desired:

---Please Choose--- $400 ---------- Final Inspection and Recertification of Prior Value $1,500 ------- Complete Summary Land Only Appraisal Report $1,700 ------- Complete Restricted Use Appraisal Report $2,000 ------- Complete Summary Appraisal Report (Non-Complex) $2,600 ------- Complete Self-Contained appraisl Report (Non-Complex) $2,900 ------- Subdivision $____ -------- Per Bid Complex Property/Special Use $____ -------- Per Bid RUSH!!!

If you selected "Per Bid" above, please enter amount of bid here:

How would you like your report delivered?

---Please Choose One--- E-Mail And Hard Copy E-Mail Only Hard Copy Only

What is the purpose of the appraisal?

---Please Choose One--- Refinance Sale New Construction Other

If you selected "Other" above, please enter why here:

Buyer / Applicant:

First Name
Last Name
Work Phone
Home Phone
Fax

Seller / Occupant:

First Name
Last Name
Work Phone
Home Phone
Fax

For Entry Contact:

First Name
Last Name
Work Phone
Home Phone
Fax

Please Provide the Following:

Property Address
City, State and Zip
Legal Description
PID Number
County
Cost or Value
Mortgage Amount

THANK YOU FOR YOUR ORDER!  HAVE A NICE DAY!