From (Lender Contact Information) - Company's Name, Your Name, Address, Phone Number) : Company Name: L.O.'s Name: Address: Phone numbers: Name: Address: Phone: Contact for Entry:  Name / Association / Phone Number: Who do we schedule the appraisal appointment with? Payment Information: COD/Borrower COD/Lender Bill Escrow *** There is an additional fee of $50.00 for all invoices that are put into Escrow.  We have a 60 net on all outstanding fees *** ****Appraisals will be held until payment is received**** If you are mailing a check - please make sure you do so enough in advance so your 48hr turn around time will not be affected. Property Type: Detached SFR Attached SFR Condo PUD Vacant Land Duplex/Triplex/Quadraplex Mobile Home Occupancy: Investment Property Primary Residence Second Home Loan Purpose: Purchase No Cash-Out Loan Cash-Out Loan Sales Price: Loan Amount: Estimated Value: ***EVERY REQUEST REQUIRES AN ESTIMATE OF VALUE*** Property Address: Gross Living Area: Year Built: # of Bedrooms/Bathroom: 1004/Full Appraisal 216/Net Operating Income Forms Needed: 2055/Exterior Only 1007/Rental Survey 1075/Condo-Exterior Only 1073/Condo Land 1004C/Manufactured Home 1025/Small Income ***DOUBLE CHECK WITH YOUR UNDERWRITER TO MAKE SURE YOU ARE REQUESTING THE RIGHT FORMS TO INSURE QUICK TURN AROUND *** Other/Additional Forms Needed: Any Additions or Remodeling Recently: What/When? Comments: Knowing the condition of the subject property can speed up the appraisal process Email address / Where to send report? Before you submit - make sure you have filled out the entire form. Failing to do so may result a longer turn-around time.

San Bernardino, CA 92404 909-886-1552 Office 909-363-7454 Fax