HK BENTLEY APPRAISERS

ORDER AN APPRAISAL

Appraisal Information:

Type of Appraisal:	Purchase (Please FAX or Email Contract) Refinance / 2nd Trust Other (Explain)
Sales Price: (If Purchase)
Loan Type: (If Purchase)	Conventional FHA FHA Case #:
Estimate of Value: (If Refinance)

Loan Amount:
Payment:	Bill Lender COD Other:
RUSH?	YES NO
Order Date:
Due Date: (mm/dd/yy):
Property to be Appraised:
Borrower Name:
Street:
City:
State:
Zip:
If refinance:
Telephone:
Email:
If purchase:
Contact Name (for scheduling):
Contact Number (for scheduling):
Lender Name:
Loan Officer:
Street:
City
State:
Zip:
Phone:
Fax:
Email (Loan Officer/Processor):
Email Address (to send final report to):
Special Instructions:
Before submitting your order, please verify you have entered the correct information.