Education I Experience I Professional Organizations

Appraisal Request Form

PART I - REQUEST

To: Please tell us who to direct this information to at First Appraisal Network Services. * DENOTES REQUIRED FIELDS

First Appraisal Network Services

111 North Causeway Blvd., Suite 205

Mandeville, LA 70448

Phone: (985) 674-7562

Fax: (985) 674-9627

*Name of appraisal agent to forward this request to:

From: Name & Address of Lender

*Company:

Lender Address:

City:

State:

Zip:

*Phone:

Fax:

*E-Mail:

*Name of loan officer:

*Date:

Name & Address of Applicant

*Name:

*Address:

*City:

*State:

*Zip:

*Home Phone:

His work phone:

Her work phone:

*E-mail:

PART II - Property and Mortgage Information

Property type:

Occupancy status:

If investment property,

how many units?:

Type of loan:

Lien position:

Loan purpose:

*Sales price:

*Estimated value:

*Loan amount:

*Address:

*City:

*State:

*Zip:

Legal description:

Listing agent:

Selling agent:

PART III - Appraisal Information

*Due date:

Appraisal type:

Contact for entry if not the same as borrower:

Additional comments:

Note: Unless otherwise stated, the value is based on the assumption that the property is well maintained with no repairs needed. Actual value may vary.