Request Form to Order Residential Real Estate Appraisals from Don J. Papineau & Associates

*All fields in RED are required.
Client
Address
City	State Zip
Contact
File/Reference #
Email

Date
Phone
Fax
Due Date
Address to be Appraised
City	State Zip
Owners
	Home Phone Work Phone
Borrowers
	Home Phone Work Phone
Real Estate Co.
Broker/Agent
	Home Phone Work Phone
Sale Price
Mortgage Amount
Estimate of Value
Legal Description
Parcel
ID #'s
PIN
Type of Property	Single Family ResidenceCondominium Townhouse Duplex 2-4 Unit Apartment Vacant Lot/Land Other
Purpose of Appraisal	Mortgage/Loan Purchase Decision PMI Removal Tax/Estate Litigation/Legal Marketing Other
Appraisal Form Type	Full Appraisal (1004/URAR) FHA (1004/URAR w/ VC Sheet) Inspection - FHA (Compliance) Drive-by w/ Interior & Exterior (FNMA 2055 or 2065) Drive-by w/ Exterior Only (FNMA 2055 or 2065) Inspection - Payout Completion Certification FHLMC 442 Recertification ERC (Employee Relocation Council) Other
Comments/ Special Instructions