BROKER INFORMATION
Broker Name:
Company Name:
Broker Email:
APPLICANT INFORMATION
Property to be Appraised:
Unit/Apartment (If applicable):
Borrower/Applicant(s) Contact Information:
Applicant Phone:
Applicant Email:
LENDER INFORMATION
Lender Name:
Underwriter Name:
Underwriter Email:
Underwriter Phone:
APPRAISAL INFORMATION
Purpose of Appraisal (Select one):
—Please choose an option—RefinancePurchase
Appraisal Report Type (Select one):
—Please choose an option—Full AppraisalDrive byDesktopProgressAppraisal Update
Payment Method (Select one):
—Please choose an option—Applicant/Borrower to PayBroker/Lender to Pay
Estimated Value or Sale Price $:
Mortgage (Select one):
—Please choose an option—1st Mortgage Only2nd Mortgage Only1st & 2nd Mortgage
1st Mortgage Ratio:
2nd Mortgage Ratio:
YOU AGREE TO THE FOLLOWING TERMS:
That you are at least 18 years old and are a registered mortgage agent/broker or licensed lender.
That the purpose of the appraisal request is for the sole purpose entered above.
That you are explicitly authorized by the applicant(s) entered above to order an appraisal on their behalf.
That the applicant name(s) and contact information entered above is accurate and up to date.
That the purpose and scope of the appraisal inspection is to investigate and determine the market value of the subject property
We will not be responsible to qualify the applicant(s), investigate and/or interrogate the occupant(s), and/or warrant the validity/status of anyone involved in this transaction. Our responsibilities are limited to reporting on the real property only.
That even after acceptance and/or property inspection, we reserve the right to cancel any order.
I agree to the terms and conditions