ValuAmerica
Appraisal Order Form
Required Fields are denoted by
*
Date:
Client Information
Client ID:
Lender:
Address:
Contact:
*
Phone:
*
Fax:
Email Address:
*
Lender File Number:
Product Delivery Fax/Email:
Email
Fax
Loan Information
Loan Type (Refinance or purchase):
Borrower Information
Borrower Name:
Borrower SS:
Phone:
Maritial Status:
Married
Single
Co-Borrower Name:
Co-Borrower SS:
Property Information
Property Street Address:
City:
ST
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
MX
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
--state--
Zip
Country:
Occupancy Type:
Primary
Secondary
Investment Property
Property Access Information
Seller's Agent:
Phone:
Buyers Agent:
Phone:
Products
Occupancy Type:
Automated Valuation Model(AVM)
Broker Price Opinion (BPO)
Drive-By Appraisal (FNMA 2055)
Single Family Appraisal (FNMA 1044)
Update/Final Inspection (FNMA 1004D)
FHA Single Family Appraisal
FHA Multi-Family Appraisal
Condo Appraisal Report (FNMA 1073)
Multi-Family Appraisal (FNMA 1025)
Other:
Special Requirements
Please list any/all client specific requirements or special guidelines (Maximum 2000 characters)