Ofc: 954-476-5085 - Fax: 954-827-0466

www.CampbellAppraisal.com - 24 Years Experience

Southeast & Central Florida, FHA & Conventional

APPRAISAL REQUEST FORM

Date:_ From/Phone:Fax:

Lender/Client:E-Mail ______

Property:________________________________ City/Zip:________________

Applicant:____________________________ Purch Refi PMI

Price/EstValue______________ FHA Conv Other

Access SupvTo

Info_________________________ As-Is_____ Inspect Int$40 Ext $20

Prop Type_______________ Type Form____________ COD Bill

Notes_____________________________________________________________

__________________________________________________________________

Please note if St.Cert Supv to inspect: Inter, +$40 Exter +$20 This is Lenders requirement, like FHA or income forms. If requesting Supv. Inspection After weve seen property, this part of fee may be paid from closing. Thank you

***Appraisal Office Use***Internal Tracking/Records***

In/By__________Log/Env________Asnd_______Insp_______Rsch_________

StMap_______MLS______ Reply_______ Appt________________________

Final Value____________________ Done/Out,Via/By_____________________