ORDER FORM

TruAccess Appraisals

Owner: ____________________________________________________

Borrower: __________________________________________________

Property: ___________________________________________________

Address City: ______________________ St. ______ Zip____________

Mortgage Broker/Lender: _____________________________________

Mortgage Broker address: ____________________________________

Address City: ______________________ St. ______ Zip____________

Type of Property Single Family Condo Family: 2 3 4

Contact Info for Inspection:

Name: ___________________________________________________

Tel: _____________________________________________________

Mortgage Type: Sale or Refinance

Estimated Value/Sale Price: ________________________________

Appraisal Ordered by: _________________ Tel: ________________

Date Ordered: ____________________________________________

E-Mail Appraisal to: ______________________ @ ______________

Payment Info

* Payment required at Door – Please inform client:

Cash Visa Master Card

Card : __________________________ Exp: ___________________

Name on Card: ___________________________________________

Zip code of card: ________________________________________

Notes/Special Requests: __________________________________

_________________________________________________