Please fill out all of the information below and then click the submit button to electronically place your order.

Your order information will appear after you have clicked the submit button.
Please print out a copy for your records.

Lender Information
Date submitted :	Select Month January February March April May June July August September October November December -- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2008 2009 2010
*Your name:
*Company name:
*Street address:
*City:
*State:	AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VT WA WI WV WY
*Zip code:
*Phone:
*Email:
Payment Information
*Payor (check one):	Lender
	Borrower
	Other
*Payment method:
Check to be provided upon appraisal inspection
Check to be mailed prior to delivery of appraisal report
Credit Card. Please click here
Wire transfer (please call for details)
*** payment is expected prior to delivery of appraisal report.
Subject Property Information
*Property type:	Single Family Residence (SFR)
	Condominium
	Multi-unit residence
	Other
*Borrower's name:
*Contact Person:
*Contact Person's Phone:
*Subject address:
*City:
*County:
*Zip code:
*Estimated property value:
Special instructions or comments: (i.e. Investment property, special upgrades, unique property elements, etc...)
Loan Information
*Estimated loan amount:
*Loan type:	Conventional
	FHA
	Other
*Purpose of loan:	Refinance
	Purchase
	Other
Legal Contract
This order is a binding, legal contract. Client’s company accepts responsibility for ensuring full payment at the time of the site inspection. A full appraisal report will be emailed in PDF format to the client only after full payment is made. Please check "yes" box below to confirm that you have read the above legal contract and agree to its terms.
You must agree with the above legal contract to continue.Yes. I agree to the above legal contract and will abide by its terms.
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