Appraisers Group - Appraisal Request Form

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Lenders Appraisal Request

Complete the following form. After you submit, you will receive an email copy of this information for your records.
( * indicates required fields)

Lender Name	*
Lender address: Street, City, State, Zip	*
Who is making this request	*
Requestor's Name	*
Requestor's Phone	*
Requestor's Email	*
Purpose of Appraisal	*
Type of Appraisal	*

Borrower's Last Name	*

Property Address: Street, City, State, Zip	*

County in which the property resides?	*

Access Person
Access Person Name	*
Access Person Phone	*
Borrower Phone
Borrower Alternate Phone
Additional Comments:


PAYMENT $$$	*

DELIVERY OF APPRAISAL	*
My OVERNIGHT ACCT #
Email to:

All orders will be invoiced to your company unless other payment is approved.

Attention Homeowner:
Payment is expected upon arrival of the inspection. We will remind you of this when making the appointment. All payments must be in the form of Money Orders, Personal Check, Cashier's Check or Cash only.