Your Information:

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First Name*		E-mail*
Last Name*		Phone #
Company		Fax #

Assignment Information:

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Due Date*		Form/Type	(None Selected) 1004 Full/URAR 1004C Manufactured Home 1004D Appraisal Update 1025 2-4 Family 1073 Condo 1075 Exterior Condo 2000 Field Review 2000A Multi-Fam Field Review 2055 Exterior Drive By Land Only Unknown
Purpose	(None Selected) Assessment Appeal Conventional Loan Divorce/Dispute Employee Relocation Estate/Probates Expert Witness FHA Loan Foreclosure/REO Home Equity Home Improvement Opinion of Market Value PMI Removal Proposed Construction Purchasing Selling/Listing Refinance Trust/Estate Other/See Comments	Add Forms	(None Selected) Comparable Rent Schedule Operating Income Statement Recertification of Value Satisfactory Compl. Certificate Standard Desk Review Supplemental REO Addendum Other/See Comments
Lender		Loan Amt  $
Ordered By		Sale Price $
Fee $		Payment Method

Property Information:

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Address*		Prop Type	(None Selected) Single Family Attached Single Family Detached Condominium Project Under Development Cooperative Duplex Triplex Quadruplex Vacant Land Other
City*		Legal Description
State	(None Selected) California Arizona Tennessee	Directions
Zip Code*

Contact and Access Information

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Occupancy	None Selected New Construction Owner Tenant Vacant
Owner		Home Work Mobile Pager Fax Email	Home Work Mobile Pager Fax Email
Borrower		Home Work Mobile Pager Fax Email	Home Work Mobile Pager Fax Email
Co-Borrower		Home Work Mobile Pager Fax Email	Home Work Mobile Pager Fax Email
Contact	None Selected Owner Borrower Co-Borrower Occupant Realtor Other
Contact Name*		Home Work Mobile Pager Fax Email	Home Work Mobile Pager Fax Email

Additional Comments or Instructions to Appraiser

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