Southwest Equity Appraisals - Appraisal Order Form

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888.682.3456

Appraisal Order Form
(fields with an asterisk * are required)

Requesting Lender *:
Lender Address *:
Lender City/State:
Lender Zip Code:
Lender Contact Name:
Lender Contact Phone:
Lender Contact E-Mail:

Property Address:
Property City/State:
Property Zip Code:
Borrowers:
Property Type:

Loan Type:		Case Number:
Loan Purpose:
Sale Price:
Estimated Value:

Type of Appraisal:

Contact Information:
Listing Agent Name:
Listing Agent Phone:
Listing Agent E-Mail:
Borrower Name:
Borrower Phone:
Borrower E-Mail:
Other Contact:
Other Contact Name:
Other Contact Phone:
Other Contact E-Mail:

Payment Information:

Comments: