Print a copy of this form then fax the completed Order Form to: (877)326-9955  

Phone: (714)450-3998 and (818)642-4875.

Client information

Date Ordered    _______________

Payment Type:   Credit Card ______    Check ________   Cash_________

(Payment policy is COD only)

Contact Person/Loan Officer     _________________________

Company ______________________________

Address _______________________________

State ___________            Zip Code _____________________

Property Information

Property Type              O  SFR            O Condo          O 2-4 Units

Other_____________

Form Type:      O 1004                        O Condo          O2055 Exterior

Borrower _______________________

Property Address _______________________

City _______________________________           Zip Code_____________

Purpose of Appraisal: 

Estimated Value or Sales Price _________

O Purchase                  O Refinance                 O Other________________

Contact information