Vance Appraisals

Certified Residential Appraiser

(269) 465-5903

Appraisal Request

Contact Information
Your Name	*
Your Email	*
Primary Phone Number
Secondary Phone Number

Client / Lender Information
Client / Lender Name
Address
City, State & Zip
Order Number
Loan Number
Loan Amount
Loan Officer
Loan Officer Email
Loan Officer Phone
Loan Officer Fax

Property to be Appraised
Borrower / Owner Name
Seller / Owner Name
Primary e-Mail Address
Primary Phone Number
Secondary Phone Number
Cell Phone Number
Street Address
City, State & Zip
Tax Code Number
Tax Year
Tax Amount
State Equalized Value (SEV)
Appraisal or Property Type
Provide Other or Construction Info Here

Appraisal Information
Date Appraisal Should Be Completed By
Purpose of Appraisal
If Other Please Explain
Sale Price or Estimated Value
Appraisal Payment Method	Payment arrangements must be made in advance.

Additional Specifics, Comments or Instructions

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