Date Requested: (mm/dd/yyyy)

Loan Type: Please Select FHA Conventional

FHA Case Number:

Property Address:

City:

Borrower's Name:

Sale:
    Sales Price:

    Loan Amount:

    Loan-to-Value Ratio:

Refinance:
    Estimated Home Value:

    Loan Amount:

    Loan-to-value Ratio:

Estate Purposes:
    Date of Death: (ie. mm/dd/yyyy)

Divorce (select if appraisal is for divorce purposes)

Other (select if appraisal is for some other purpose)

Requestor Information:

Company Name:

Address:

City:    State: (ie. CA)

Zip Code:

Phone Number: (ie. 111-111-1111)

Fax: (ie. 111-111-1111)

Loan Officer:

Processor:

E-mail Address:

Secondary E-mail Address:  (this address will be cc'd on all correspondence)

Would you prefer to receive the appraisal by e-mail in PDF format? Yes No

Structure Type: Please Select Single Family Duplex Triplex Fourplex Halfplex Condominium Manufactured Home

Appraisal Type: Please Select Full Appraisal 2055 Exterior 2075 203K Desk Review Field Review Vacant Land Other   

If "Other", what type?

1007 Rent Survey? Yes No

216 Operating Income Statement? Yes No

New! Carson's Appraisals now accepts payment by credit card.

Please note: If C.O.D., the appraisal will be released after appraiser receives fee.         Appraisal Fee to be paid by: Please Select C.O.D. Lender

Whom should we contact to set an appointment?

Contact Person's Phone Numbers:

Work: (ie. 111-111-1111)

Home:

Cell:

Special Instructions:

Type in special instructions for the appraiser here.