Order An Appraisal – PVCI Prime Appraisals

REQUESTOR INFORMATION

Requestor Name *

First

Last

Business / Organization

Requestor Address

Address Line 1

City

State / Province / Region

Postal Code

Country

Email *

Phone *

Requestor Relationship to Property: *

Broker
Owner
Buyer
Other

Please describe relationship to property being appraised. *

PAYMENT INFORMATION

Appraisal will be paid by: *

Requestor
Other

Bill to Name *

First

Last

Bill to Email *

Bill to Phone *

Payee Relationship to Property being Appraised *

Broker
Owner
Buyer
Other:

Please describe relationship to property being appraised.

SITE ACCESS INFORMATION

Contact For Site Access

Requestor
Payee
Other

Contact Person for Access to Site: *

First

Last

Contact Person for Access to Site

Listing Agent (If Applicable)

Email

Site Access Phone (daytime) *

Site Access Phone (cell)

PROPERTY TO BE APPRAISED

Purpose of the Appraisal: *

Property Type: *

Occupied By: *

Please describe the purpose of the appraisal:

Please describe property type:

Lender *

Please put TBD If unknown or N/A if inapplicable

Site Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Purchase Price/Estimated Value: $

Date Appraisal Needed by:

Additional Notes:

Captcha *

=

RESIDENTIAL ORDER FORM

REQUESTOR INFORMATION

PAYMENT INFORMATION

SITE ACCESS INFORMATION

PROPERTY TO BE APPRAISED