Date of order:

Property Address, City & ZIP:

Owner Name:

Owner Phone: (H)                            (W)                            (C)

Property Occupancy: [ ]by Owner    [ ]by Tenant    [ ]is Vacant

        If occupied by Tenant - Name:

                                                 Contact phone(s):

Purpose of Appraisal Report: [ ]Estate value    [ ]PMI Removal    [ ]Pre-sale

                                                [ ]Sale               [ ]Refinance

Name of Person ordering Report:

Mortgage Lender Client Name:

Client Phone: (B)                                        (C)

 

Return form to:    Towne Appraisals    FAX 360-424-6035     Phone: 360-708-1196