The first ten fields of this form relates to the person and company submitting the request.  As most appraisals are typically COD at time of inspection or terms arranged prior to the start of the appraisal, billing info can be filled out if agreement was made with the appraisal office.  

* First Name: * Last Name: Company Name: * E-mail Address 1: Billing Address: Line 1: Line 2: City: St./Prov.:  Zip:  Country: * Day Phone: * Address of Subject Property to be Appraised: Line 1: Line 2: City: St./Prov.:  Zip:  Country: * Purpose for Appraisal: Sales Contract Estimate for Tax Reasons Refinance/Equity Line Help to Set Sales Price Property Settlement Proposed Construction Leased Fee/Leasehold Interest REO/Foreclosure PMI Removal Relocation Financing Other (fill in comments below) * Sales Price or Estimate of Value: * Type of Property: SFR - Single Family Residence Multi-Family Units Condominium Apartments Commercial Industrial Land Other (fill in comments below) * Contact for Access: * Contact Day Phone: * Special Instructions/Comments: