Order Form

Appraisal Order Form

Fill out the information in the form below and hit the "submit order" button at the bottom of this form. You will receive an e-mail confirmation when I receive the appraisal order.

Your Name:

Your E-mail:

Company Name:

Your Phone #: Your Fax #:

Street address: (where to send appraisal)

City: State: Zip:

Information about property to be appraised (subject property):

Case #:

Borrower's name:

Subject address:

Subject City: State: Zip:

Subject Legal:

Sales Price: or Estimated Value:

Select Property Type, Type of Appraisal desired, and Purpose of Appraisal below:

Contact for access:

Phone (work): Phone (home):

Comments and Special Instructions (explain any "other" selections from above. Also include the amount of acreage for farm or farmette orders):