Appraisal Request Form Kline Lewis, LLC

Please enter information for all fields marked ** required**
Any additional comments or instructions can be submitted at the bottom of the request form.

Date Ordered
    Example 12/05/06   Today's Date    ** REQUIRED **
Client Name
     ** REQUIRED **
Client Address (Street / City / Zip Code )
   ** REQUIRED **
Property Address ( Street / City / Zip Code )
   ** REQUIRED **
                       
Borrowers  (homeowner)

Seller

Sale Price / Market Value If Applicable -$
  Example $1,000,000

Loan Amount
 -Example $1,000,000
Contact Name
   ** REQUIRED **
Contact Phone
    Example 724-933-0488  ** REQUIRED **
Contact Email
    Example John@anywhere.com   ** IF AVAILABE **
Is the property listed for sale
   Enter YES OR NO
Realtor Name
  

Realtor Phone
 -Example 724-933-0488
 

          SPECIAL COMMENTS OR INSTRUCTIONS