Concept 2000



			PA and NJ Real Estate Appraisers

APPRAISAL REQUEST

* Please complete as much information as possible for us to complete
your request in a timely manner.

* If this will be an FHA Appraisal, please state this in the request under comments & include the FHA Case Number*

COMPANY CONTACT INFORMATION
Email Address:
Company Name:
L.O. Name:
Phone Number w/ ext.
Mobile Number:
PROPERTY TO BE APPRAISED
Date
	Borrower's Information
Borrower Name
Borrower's Home Phone
Borrower's Cell Phone
Borrower's Work Number w/ ext.
	Payment
Payment Type
Appraisal Fee	$
	Form
Form Type
	Location
Property Address
Property City
Property State
Property Zip Code
Property County
Property Township
	Property Information
Date of Last Sale & Purchase Price	$
Owners Opinion of Value	$
Housing Type
Above Grade Bedrooms
Above Grade Bathrooms
Basement
Central Air
Garage
Age of Property
Owner Occupied?
Tenant Occupied?
Additional Comment (including recent major renovations)

Disclaimer	I have read and agreed to the payment disclaimer

^{If you have any problems using this form, please send your request via email:} c2000@concept2000.org

(215) 992-9065

(609) 545-7631

eFax (866) 926-8707

Voice: 215-992-9065 Fax: 866-926-8707