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*
Date Of Requeste
*
Requester's Name
*
Phone Number
*
E-mail Address
*
Property Address
*
City, State, Zip
*
Borrowers Name
County
Block
Lot
*
Property Type
Condo
Co-op
Single Family
2 Family
3 Family
4 Family
*
Appraisal Type
Full Appraisal
Drive-By
Field Review
Desk Review
*
Occupancy
Primary
Investment
*
Purchase
Sales price
*
Refinance
Est. value
Mortgage Request
Bank Applying to:
Contact Phone Numbers
*
Name
*
Home
*
Work
Cell
*
Payment Method
Time of inspection
Bill Lender Directly
Bill Bank Directly
If Chase, please include loan number
Please indicate if appraisal is:
Super Rush
Rush
Standard (Can take up to 3 business days)
Comments:
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