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MICKERIZ APPRAISAL CO., INC.
QUALITY APPRAISALS SINCE 1969
P.O. BOX 699 • RUMFORD, ME. • 04276-0699 • 207-364-9911 • fax 207-364-9913 • mgm@mickeriz.com

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     www.mickeriz.com
Appraisal Order Form   

There are two ways you can submit our Appraisal Order Form.

1. Download Order Form pdf file, print, fill out and fax it to us at 207-364-9913, or...

2. Fill out and submit handy on-line form below.


APPRAISAL ORDER FORM

Date Ordered:

Date Expected

Your email: *Required

CLIENT INFORMATION

     First Name MI Last Name

     Company Name

     Address Apt./Suite #

     City State/Province    Zip

     Country

     Phone Ext.      Fax

LENDER INFORMATION: ( IF DIFFERENT FROM ABOVE)

     Lender Contact Person: First Name MI Last Name

     Email Address  

     File # FHA Case # Loan #

     Estimated Value Sales Price

PROPERTY INFORMATION

     Address Property Type

     City Directions

     State 

     Zip

CONTACT /ACCESS INFORMATION

     Occupancy

     Borrower      

     Co-Borrower

     Appointment Contact

      First Name MI Last Name   

                                 

TYPE OF APPRAISAL (Please select one)

REASON FOR ASSIGNMENT (Please select one)

     

CURRENT PROPERTY TAX INFO

    Amount of Tax Book Page

PAYMENT INFO

    Collect at Door Amount Bill Lender Amount:

SPECIAL INSTRUCTIONS

     Please include any special instructions/comments below:

 

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