PROPERTY TO BE APPRAISED: Fields marked with * are required fields
*Street Address:
*City in Arizona:
*Zipcode in Arizona:
Borrower:
*Property Type:	Select One Residential Floorplan $100 Desktop Appraisal $50 Enhanced Desktop $150 Single Family $350 FHA Single Family $400 2 to 4 Family $500 Condo $350 2055 Drive-by $250 Land $300
Reason for the Appraisal:
How should we send the finished report:	Select One E-mail PDF Report Express Mail Overnight Courier Local Courier
ORDER INFORMATION:
* Person ordering appraisal:
Company:
Address where appraisal is to be sent:
City:
State:
Zip Code:
* Work Phone:
Fax:
* E-Mail:
* Person who contacted you:	Select One Lyle Gallagher Jeff Smith Josh Reed Travis Sapp James Moore Frank Arvizu Dawn Michalski-Arvizu Deanna Evans Rick LeBlanc Glenn Gallagher Debe Ware Art Reeder
PROPERTY ACCESS:
*Who do we contact for property access:
*Work Phone:
*Home Phone:
*Cell Phone:
Enter Additional Comments or Instructions here:
PAYMENT INFORMATION: (All fees are non-refundable)
*Name of Person Responsible for Payment:
*Phone Number:

I understand and agree that this appraisal will be accepted subject to your appraisal use agreement and that your firm will email me a confirmation, the appraisal report and company information when available.