Order Date: Closing Date: Date Needed:

Lending Institution:
Phone Number: Fax Number:
Loan Officer:
Loan Processor:

Client's Name:

Property Address:
City: County: Zip:

Current Owner:

Entry Contact:
Contact Information: Home: Work:

Type of Appraisal:
Full URAR 2-4 Rental 5+ Income Property Condominium
Drive-By 2070 2055 2055 Exterior Re-Certification
Compliance Inspection Other

Purpose of Appraisal:
Purchase Refinance New Construction Other

Type of Property:
Single Family Condominium Vacant Lot
Duplex Apartment - # of Units

Type of Loan: Sale Price:
Estimated Value: Mortgage Amount:

Special Instructions:

2417 Parmenter Street    Middleton, WI 53562
Phone (608) 836-3449    Fax (608) 836-6680   
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