P. O. Box 1632
Brandon, MS 39043
Office: (601) 591-5455
Fax: (601) 591-2232
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Appraisal Order Form
All fields are required unless marked otherwise.
Date:
Borrower:
Phone (AM):
Phone (PM):
Owner/Occupant:
Subject Address:
Client:
Client Phone:
Client Fax (optional):
Client Email (optional):
Client Address:
Contact:
Invoice Address:
Estimated Value (optional):
$
Property Type:
Rural
Urban
Suburban
Requested Completion Date:
Product Requested:
[Choose Product]
1004 Full Appraisal
2055 Interior/Exterior
2055 Exterior Only
2065 Exterior Only
2075 Exterior Only
442 Final Inspection
CIR Compliance Inspection Report
Special Instructions (optional):
Purpose:
[Choose Purpose]
Refinance
Cash out refi
Purchase
other
Method of Payment:
[Choose Pmt Method]
Pay at Closing
Customer Responsibility
Type:
[Choose Type]
FHA
Conventional
Other
Case Number:
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