Appraisal Request Form

Basic Contact Information

Name:
Address:
City, State, Zip
Phone:
Fax:
E-mail:

Property Information

Description of Property:
Property Address:
Property Type:
Contact Name:
Contact Phone:
Special Instructions:

Appraisal Information

Client Name:
Borrower's Name:
Purpose of Appraisal:
Data Needed:
Appraisal Type:	Residential FHA Income Properties Farm and Land Fire Divorce New Construction Condominium

Other Comments

"Since 1984"
101 E. Ontario Road, PO Box 444
Oneida, IL 61467
Office: 309-483-3251
Fax: 309-483-3252
Cell: 309-368-8385
Email: ron@ronladuke.com