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Shack Forms Module 91
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Placing an Order
Order an Appraisal
Your First Name
*
Your Last Name
Email
*
Client Name
Phone
Address
City
State
Message
*
1000
characters left
ZIP
Property Information
Borrower's Name:
Subject address:
City (of subject)
State (of subject)
ZIP (of Subject)
Subject Legal:
Sales Price:
Estimated Value:
Property Type:
*
-- Select --
Single Family
Condominium
Townhouse
2-4 Family
Commercial
Land
Other (explain)
Other Property Type (Explain)
100
characters left
Type of appraisal desired:
*
-- Select --
Full Appraisal
Drive-By Appraisal
Relocation
Field Review
Desk Review
Select purpose of appraisal:
*
-- Select --
Sales Contract
Refinance
Set Sales Price
PMI Removal
Property Settlement
Estate
IRS, Tax Purposes
Contact for access:
Home phone:
Work phone:
Comments and special instructions:
1000
characters left
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