AppraisalTek Order

To place an order, simply fill out this form OR click the link below to download a printable PDF Order Form suitable for faxing.

Upon submision of this form, your information will be sent to our processing area, a confirmation e-mail will be sent to you, and an
AppraisalTek representative will contact you soon.



Please click HERE for a PDF version of this order form.



NOTE: Fields marked with * are REQUIRED

Lender / Broker Information:
	*Order Date:
	*Lender /Broker Company Name:
	*Contact Person:
	*Address:
	*City:
	*State:	Select a State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY
	*Zip Code:
	*Phone:
	Phone Extension:
	Fax:
	*Email Address:
	Additional Lender / Broker Info:
Borrower / Buyer Information:
	*Borrower's Full Name:
	*Borrower's Phone:
	Additional Phone:
	Client Loan Number:
	Mortgagee (if different from you):
	Realty or Other Contact:
	Realty Other Contact Phone:
	Additional Info:
Property Information:
	*Property Address:
	*City:
	*State:	Select a State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY
	*Zip Code:
	Parcel Number:	- -    Format: XXX-XX-XXXX
Appraisal Type / Other Information:
	*Requested Complete Date:	Format: YYYY-MM-DD
		Check here if ASAP (this will clear the date field above)
	Appraisal Type:
		Purchase
		Refinance
		Private Order
	Provide estimated value:
	Addtional Notes:
	Report Type:
		Residential
		Review
		Commercial
	Form Type(s) - check ALL that apply:
		1004 (Full URAR)
		1004C (Manufactured Home)
		1073 (Full Condominium)
		2055 Interior (2055 Interior & Exterior)
		2055 Exterior Only
		1025 (Multi-Family)
		2075 (Fannie Mae – No Value)
		2070 (Freddie Mac – No Value)
		1007 (Rent Survey)
		216 (Income Statement)
		Desk Review (Short or DRF)
		Field Review (FNMA 2000)
		442 (Final Inspection)
		Vacant Land (Residential Only)
		Other (please specify below):
Payment Information:
		COD
		* Bill Lender
		* Lender / Client Responsible
		Credit Card