EAGLE APPRAISAL

Eagle Appraisal h 9775 South Maryland Parkway, Ste 285h Las Vegas, NV 89183      

      Phone:702-273-0292h Fax: 702-263-7793  email: chip777@cox.net

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Appraisal Request

Lender Name_______________________________________

Lender Address_____________________________________

 City, State, Zip_______________________________________

Requested By_______________________________________

Lender Phone Number_________________Fax_____________

Email For Appraisal Delivery____________________________

(Delivery charges may apply for non-email delivery)

Property To Be Appraised______________________________

City, State, Zip_______________________________________

Borrower Name______________________________________

Access Contact Info___________________________________

  Purpose of Appraisal _____Purchase     _____Refi     _____Other

 Purchase Price (If Applicable)____________________________

(For purchases, please fax full purchase agreement)

               Type of Appraisal (Please Check One)

            ___Full Conventional  ___FHA  ____Investment(requiring OI/Rent)

Comments_________________________________________________

Payment is required to be COD, unless previous arrangements have been made between the Client and Eagle Appraisal. It is the Clients responsibility to inform the borrower that payment must be collected at the door.