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Appraisal Request Form

Please fill out this form to request an appraisal:

Order Date:  
Type of Appraisal:   
Purchase  Refinance  Other -- Specify:
Lender Name:  
Lender Billing Address:  
  City:State:  Zip:  
Lender Phone:    (000)000-0000  
Lender Fax:    (000)000-0000  
Originator:  

Processor:

 

Borrower:

 
Property Address:  

City: 

  State: Zip:  
Purchase Price:      Fee:  

Contact Person

for Access:

  
Contact Phone:   (000)000-0000  
Comments:

 

 

 

Shipping Instructions:
Standard -- No charge     
Overnight -- Airborne Number
Overnight -- Fed Ex Number
Overnight -- UPS Number
Email -- Adobe PDF or  EDI - Lighthouse  Address:
Other -- Specify
 
Fee Payment Method:
By Client within 30 days
Collect at the door (Cash, money order, or cashiers check)
 
Comments/Special Instructions:

                                                                                                       

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