EDI Capable

Frank G. Riess, President

Appraisal Request Form

Person/Company Ordering Report

Contact Name:  
 
Company Name:
 
Address:
 
City:
 
State:
 
  		Zip:
Phone:
 
Fax:
 
E-Mail (*required):
 

Lender/Client Information

(as it should appear on report)

Name:
Address:
 
City:
 
State:
 
  		Zip:
Delivery method: Fax USPS Email

Property to be Appraised

Owner:
Applicant's Name:
(if different)
Address:
 
City:
 
State:
 
  		Zip:
Phone:
Property Type: One Unit Three Unit Condo
  Two Unit Four Unit Vacant Land
Type of Form Requested: URAR (1004)
Multi-Family
2055 Exterior		 Inspection
Recert
Value
Estimated Value
or Sale Price : ($)
 
Contact name for
entry into property:
Phone for above:
Special Instructions:

 
Refered by: