Please provide the following information: Required fields have asterisks **

Type of Appraisal Service Requested (if applicable)	Commercial Appraisal Site Inspection - Final
Purpose of Service	Please make a selection First Mortage Refinance Mortage Mortage Cash Out Tax Advocacy Pre-Listing Inspection Purchase Inspection Legal Action Estate Purposes **
Type of Property?	Please make a selection Mixed Use Building Store Front Industrial Other 5-12 Unit Apartment Building **
Form Requested	Please make a selection Don't Know 71 B - Commercial Narrative Limited Appraisal **   Other?
Additional Form?	Yes No Operating Income Statement None
Interior Inspection?	Yes No
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Client Code	(type in)
	If you have an assigned client code you may skip the following section. If you do not have a client code you must complete the following section in it's entirety or your order may not be processed
Your Name
Title (optional)
Organization
Your Street Address
Address (cont.)
Your City & State
Zip
Your Work Phone
Your Fax
_____________________________	________________________________________________
Your E-mail	**
_____________________________	________________________________________________
Property Owners/Purchasers Name	** Owner Purchaser Builder
Property Street Address	**
City, State	**
Zip	**
_____________________________	________________________________________________
Primary Contact for Inspection Who?	** Please make a selection Seller Purchaser Purchasers Realtor Sellers Realtor or Broker Renter Builder Attorney for Seller Attorney for Buyer Current Homeowner **
Primary Contact Phone 1	** Home Work Mobile Page
Primary Contact Phone 2	Home Work Mobile Page
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Second Contact for Inspection  Who?	Choose if Applicable Builder Seller Buyer Sellers Agent Buyers Agent
Second Contact Phone 1	Home Work Mobile Page
Second Contact Phone 2	Home Work Mobile Page
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Property Sale Price or Estimated Value	Owners estimated value Qualifying vlaue Contract Price Builders proposed pricing Draw Amount Recert Amount
Loan amount if applicable
Priority	Complete as soon as practical Please give priority Super high priority
COD
Additional Instructions
	Please fax additional docs to: (630) 587-8481