Citywide Appraisals - Order Form

Note: Fields with an asterisk must be completed in order to submit your request.

Your Name*
Company
Company Street Address	Suite
City
State
Zip
Phone*
E-mail*

Customer's Name
Street Address of property to be appraised
City
State
Zip
Customer's Home Phone
Customer's Work Phone		ext
Customer Alternate Phone

purchase
refinance
FHA	yes no

Single Family?	yes no
Type of House	1-Story 2-Story 2+-Story Bi-Level Tri-Level Quad
Number of Bedrooms
Number of Full Bathrooms
Number of Half Bathrooms
Basement?	yes no
If yes, please specify	Fully or partially finished unfinished

Multi-Family?	yes no
	Duplex Triplex Quad
describe bed/bath count per unit
Parking?	onstreet offstreet

Please use the area below to submit any further comments or questions.

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