Appraisal Request Form
Fields marked (*) are required
       
Client Information
       
Date:* Type Of Appraisal:
Your Reference #: Transit #:
Company Name: Contact Name:*
Address: *

City: *

Prov: *
Postal Code: * Fax:

Tel : *

Ext:

Email *

Property Information

       

Address: *

City: *
Prov: * Postal Code:
Applicant Name: * Home Tel : *
Business Tel: Business Ext:
Vendor Name: Purchase Price
       
Type Of Property:   Reason For Appraisal:
   
Single Family Financing
Multiple Family Sale/Purchace
Water Front Matrimonial
Rural Tax Purposes

Commercial

 Estate Settlement
Other
(Please Specify)		 Other
(Please Specify)
Contact For Access (if different than noted in property information above)
       
Contact Name: Company Name:
HomeTel: Cell Phone:
Business Tel: Ext:

Lender (if different than noted in client information above)

       
Company: Transit #:
Contact Name: Address:
City: Province:
Postal Code: Fax:
Telephone: Ext:
Delivery Method    
   
Email: Desired E-mail:
Mail:    
Pick Up:    
Fax:    
Other Comments: