Concept 2000



			PA and NJ Real Estate Appraisers

Property Preliminary Request

* All fields are required to be filled in otherwise you will not get a response

* If you will require an FHA Appraisal, please state this under the Additional Comments below

COMPANY CONTACT INFORMATION
Email Address:
Company Name:
L.O. Name:
Phone Number w/ ext.
Mobile Number:
WHAT CAN WE HELP YOU WITH?
Date
	Borrower's Information
Borrower Name
Borrower's Home Phone
Borrower's Cell Phone
Borrower's Work Number w/ ext.
	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)

(this is not an appraisal and should not be utilized as such) ^{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