151 N. Orlando Ave #131, Winter Park, FL., 32789
phone: (407) 628-1012 fax: (407) 628-1282
Complete the five sections below to place your order.
1
Client Information
Firm or Individual Name:
Address:
Suite / Bldg / Mail Stop:
City:
State:
Zip:
Contact Name:
Telephone:
Fax:
Email:
Unless otherwise specified, all reports will be delivered in PDF format to the email address indicated here. For other delivery options, please specify in the Appraisal Product section and/or Special Instructions.
Client File/Case Number:
Include this number on report?:
Lender Information - If the appraisal report is to be certified to a different party than the client information specified above, complete the following section:
Lender Name:
Lender Address:
2
Borrower Information
Primary Borrower Name:
Co-Borrower Name (if applicable):
Borrower Contact Telephone:
Alternate Contact Telephone:
May we contact the borrower if necessary?:
Select the type of Loan Product:
Conventional Mortgage
FHA Mortgage
VA Mortgage
Reverse Mortgage
PMI Release
Other / N/A
Select the applicable lien type for this loan:
First Mortgage
Second Mortgage
Equity Line of Credit
Other / N/A
Select the purpose of this loan:
Purchase Mortgage
Cash-out Refinance
Standard Refinance
PMI Release
Other / N/A
For Purchase Mortgages:
We will require a completed, signed copy of the sales contract in order to complete the appraisal. We will contact the client to obtain a copy of the contract unless another source for the contract is specified. If we should obtain a copy of the sales contract from another party, please specify their contact information in the Special Instructions section of this form.
3
Property Information
Subject Property Address:
City:
State:
Zip:
County:
Subject Parcel ID (please include for vacant lots):
Property Type:
Single Family Home
Manufactured Home
Vacant Land
Condominium
Townhouse
1/2 Duplex
Full Duplex
Tri/Quadplex
One Unit - Tri/Quadplex
Commercial Property
Other
Contact For Entry / Access to Subject Property - If the contact for entry or access to the subject property is
NOT
the borrower, please complete the following section:
Entry Contact Name:
Contact Telephone:
Alternate Telephone:
4
Appraisal Product
Choose a report type:
FNMA 1004 Single Family Res. Report
FNMA 1004 Single Family Res. Report w/ Cost Approach
FNMA 1004 Single Family Res. Report for REO/foreclosure
FNMA 1004 Single Family Res. Report REO foreclosure w/ Cost Approach
FNMA 1004D Satisfactory Completion Cert. / Appraisal Update
FNMA 1004C Manufactured Home Report
FNMA 1073 Condominium Report
Vacant Land
FHA 1004 Single Family Res. Report
FHA 1004 Single Family Res. Report w/ Cost Approach
FNMA 2055 Exterior-Only Residential Appraisal
FNMA 2055 Exterior-Only Residential Report (STR)
FNMA 1025 One-to-Four Unit Small Income Report
Appraisal Desk Review
Appraisal Field Review
Already Quoted Specialty Product
Fee for this report (change this number only if you have already discussed a fee change with us):
Additional Report Forms & Options:
None
FNMA 1007 Rent Schedule
FNMA 216 Operating Income Statement
Both - FNMA 1007 and FNMA 216
Fee for additional forms (change this number only if you have already discussed a fee change with us):
Total Fee:
(This does not include additional fees from any special requirements as indicated below. We will contact you if your final fee will vary from this number).
Specify Payment Method: Cash/Check at Door:
Credit Card:
Additional Considerations for this report (check all that apply):
REO/Foreclosure:
Hardcopy Required (add'l postal fees may apply):
State Cert. Appraiser Required (Trainees not acceptable):
Special Instructions
Specify additional requirements below. If a hardcopy is required, specify the delivery address here. Please bear in mind that some requirements may necessitate additional work and may alter the fee indicated above (we will contact you if a change in the appraisal product is necessary):
5
Confirm and Proceed
Please verify the information on this form; when you are ready to proceed, click the Proceed button below. You will be redirected to our payment processing page.
©2007 Palm Appraisals and Jason E. Rock
Palm Appraisals
151 N. Orlando Ave #131, Winter Park, FL., 32789
(407) 628-1012 (v) / (407) 628-1282 (f)