Client Name (company):**

Client Address, City, State and zip:**

Lender Name (if different than client):

Lender Address (if different from client):

Client Contact Name:**

Client E-mail Address:

Client Phone:**

Client Fax #:

Borrower's Name:

Co-Borrower's Name:

Borrower's Phone #:

Property Address, City, State, Zip:**

County of Property:

 Purpose of Appraisal

 Please check one:

    Financing

    Sale/Purchase

    Determine Value

    Estate

    Condemnation

 Type(s) of Value to be Used

 Please check one:

    Market

    Orderly Liquidation

    Salvage

    As Is

    As Improved

And,

    Whole

    Fractional

    Physical Segment

    Partial Holding

 Type of Property to be Appraised

 Please check one:

    Real Property

    Personal Property

    Equipment

    Bare Land

 Type of Appraisal Report

 Please check one:

    Restricted

    Self-Contained

    Summary

And,

    Complete

    Limited

Expected Completion Date:**

Contact Person:**

Contact Phone #:**

Assignment Conditions/Comments: