Form

Type of Appraisal:

Conventional FHA

Case #

Date:

Loan Type

Exterior Only 2055 Exterior Only 2065 Exterior Only 2075 Final Inspection URAR Form 1004

Client / Lender:

Borrower:

Address Line 1:

Address Line 2:

City

State

Zip

Phone

Fax:

Email:

Property to be Appraised:

Address Line 1:

Address Line 2:

State

City

Zip

Phone:

Email:

Fax:

Borrower:

Propterty Type:

Single Family Multi-Family PUD Condo

Selling Price $

Mortgage Amount $

If REFI, owners estimate the value $

Real Estate Broker:

Broker Contact Phone:

Broker Contact Fax:

Broker Contact Email:

Borrower Name:

Any Comments:

Please Type the word in the box.*