Fax to 630-556-3514
or call (630)556-9920 for verbal order

PERSONAL INFORMATION


Order Date:_______                                     Fee_________________

CLIENT/Company__________________________

Address______________________________________State________________ Zip Code __________________

Loan Officer / Originator __________________________________

Phone #_____________________Fax # ___________________


Circle One: Assignment (circle one) Property Type (circle one)
  • Conventional
  • FHA
  • Purchase
  • Refinance
  • Final inspection
  • 2055/Equity
  • Relocation
  • Single Family Residence
  • Condominium
  • Attached Residence
  • 2 3 4 Flat
  • Land
  • Commercial

PROPERTY TO BE APPRAISED:


Address ______________________________________________
City__________________ State_______ Zip Code_____________

Loan Number ____________ Due Date_____________________

For purchase or refinance, please provide:
Purchase price
__________Loan amount__________

Borrower ________________________________________________


CONTACT INFORMATION :


Name__________________________________________________

Contact (circle one)      Borrower    Seller Listing agent     Selling agent    Builder

Home Phone #______________ His Work #____________________

Additional #________________ Her Work #____________________


CCOMMENTS OR SPECIAL INSTRUCTIONS: