• From: (Name & Address)                                                                                           (Payment)       C.O.D. At Time of Appraisal        

•         E-Mail Address:

• Signature of Lender: Title: Date:

• Lender:                                                                                                                         Name & address of applicant:

•                         

• To Whom The Appraisal is to be Sent:  E-Mail Address:

• Property and Mortgage Information:

  Property Type       Occupancy Status                            Type of Loan                     Lien Position                    Loan Purpose

  Detached           Primary Residence                        Conventional                   First Mortgage                Purchase

  Attached           Second Home                                FHA                               Second Mortgage           Cash-Out Refi

  Condo               Investment Property                       VA                                                                            No Cash-Out Refi   

  PUD                                                                            USDA/Rural Housing Service

  CO-OP                        No. of Units              

• Sales Price $            Estimated Value $            Loan Amount $

• Property Address:

• Legal Description:

• Escrow Company:

• Title Company:    

• Listing Company:

• Selling Agent:      

        Appraisal Information

• Due Date:

• Type of Appraisal:Interior/Exterior (Full)        Exterior Only            Market Rent Analysis 

• Contact for entry, if not same as borrower:       

• Comments:

•     

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Copyright © 2006 LaPlatte Appraisal Services, Inc. All rights reserved.
Revised: August 03, 2006