FROM:

Company Name:
Address:
City:   State:   Zip: 

Phone:   Ext   Fax:  

Individual Requestor Name:   Email:  

SUBJECT PROPERTY:

Address:
City:   State:   Zip:
Borrower name:
Primary contact #:  Home Office Cell
Secondary contact #:   Home Office Cell
Contact for property access if different than borrower:
When appraisal is completed how do you want it sent?
Email U.S. Mail

Subject Property Type:
Single Family Residential
    Manufactured Home
    Conventional Home
Multi-family Residential

LOAN INFORMATION:

Purpose of Appraisal: Purchase Refinance Other
Is the report for Guaranteed Rural purposes? Yes No
FHA, VA, Oregon Bond, Fannie Mae,
Other- Explain: 

Appraisal Payment type:
Collect from property contact
Invoice appraisal requestor
Other

What is the estimated value of the subject property? Unknown 
What is the loan amount (if applicable)?

Appraisal form type requested:

2055 - Exterior only drive-by inspection
1004 - Interior and exterior inspection for non-manufactured home properties
1004C - Interior and exterior inspection for manufactured home properties
1025 - Multi-family 2-4 family unit properties
Land Appraisal 

Do you require interior photographs of dwelling?
If so, please specify:

LAND APPRAISAL REPORTS:

Does the property have structural improvements such as barns, shops, sheds, detached garages, guest units?
Yes No
If so, do you want the value of such structural improvements included in the Land Appraisal report?
Yes No

Is the property improved with:
Water well or public water to the property?

Septic system or public sewer to the property?

Unknown?

Do you want the value of such private well and septic systems included in the Land Appraisal report?
Yes No

Additional Comments: