Appraisal Order Form

Date
Appraisal Type
Appraisal Fee
Name
Property Address
City
Zip Code
Unit #
Contact For Access
Owner
Home Telephone
Work Phone
Ordered By
Phone
FAX
Company/Lender
Address
ReFi
Purchase
Sales Price
Sales Date
Loan Amount
LTV
Owner Est. Value
Home Size
Bedrooms
Baths
Yr Blt
Acreage
Well YES NO
Septic YES NO

Special Instructions

-ALL BILLED APPRAISALS FEES ARE DUE WITHIN 30 DAYS-
-OUR FEES ARE NOT CONTINGENT UPON THE CLOSE OF ESCROW-

P.O. Box 622 Middletown, CA 95461
Tel (707) 987-8302 • Fax (707) 987-3541

Copyright 2006 Monarch Appraisal