Today's Date

YYYY

Name

Person Ordering Appraisal

First Name

Last Name

Your Phone Number

(###)

###

####

Company Name

(If Applicable)

Your Mailing Address

City, State and Zipcode

Purpose of Appraisal

Property Address

Address of Property to be Appraised

City, State and Zipcode

Contact for Entry

Person that will assist in property access.

Contact Phone Number

(Number of the person who will assist in gaining access to property)

(###)

###

####

Special Instruction

Include any information about the property or circumstances of the appraisal.

Timeframe

(How soon do you need the report?)