DATE REPORT IS NEEDED BY:

DATE ORDERED:

FINANCIAL INSTITUTION:

BY (PROCESSOR): PHONE:

BORROWER: PHONE:

SELLER NAME: PHONE # :

PROPERTY ADDRESS:

CITY: COUNTY: STATE

INSTRUCTIONS TO APPRAISER:

CALL OWNER: PHONE #:
OR
CALL LISTING AGENT: PHONE #:
OR
OTHER: PHONE #:

FINANCE TERMS:

MORTGAGE AMOUNT: $ RATE % POINTS
PAID BY: BUYER SELLER

TERM: FIXED ARM BALLOON LTV: %

1 FAMILY 2-4 FAMILY CONDO/PUD

AS IS YES NO

SUBJECT TO:

EXTERIOR PHOTOS: YES NO INTERIOR PHOTOS YES NO

# COPIES

PLOT DRAWING NEEDED: YES NO FEE QUOTED: $

PURCHASE DATA REFINANCE DATA NEW CONSTRUCTION DATA

SALE PRICE: $ OWNERS EST. OF LOT COST $
VALUE $
SALE DATE: CONSTRUCTION COST $

TOTAL: $
ITEMS ATTACHED:

PURCHASE AGREEMENT YES NO SPECS COSTS

PROPERTY CONDITION REPORT YES NO PLANS CONTRACT

OTHER: