Appraisal Order Form for Fortuna and DiFlumeri Realty Appraisal Group, Ltd, Real Estate Appraisers

Appraisal Order Form

Please fill out as many of the fields as possible so that we may better complete your assignment. When all fields are completed please click on the submit button. We will contact you with an email confirmation within 24 hours of receiving your request. If you would like us to confirm your order by phone or fax please check the appropriate box on the form. At the time of your order confirmation you will be given a tracking number. You can use your tracking number when calling for a status on the assignment. Having your number ready when you call will ensure that you receive the fastest service possible.

Client/Customer Information:
Assignment Due Date:
Company Name:
Company or Client contact name:
Street Address or PO Box:
City:
State:
Zip Code:
Client Email address:
Client Phone:
Client Fax:
How did you hear about us?
How would you like us to confirm your order? Email: Phone: Fax:
Email address for completed assignments:
Assignment Information:
Borrowers name as it will appear on the report:
Contact Name if different from Borrower:
Contact Telephone Home:
Contact Telephone Work:
Cell Phone:
Subject Street Address:
City/County:
State:
Zip Code:
Sale Price:
Estimated Value:
*The request, (by our office), for Estimated Value and Sale Price may not be used as a condition of placement of this assignment with Fortuna & DiFlumeri. If the value reflected is a condition of the assignment we cannot accept the assignment as the use of a predetermined value would violate our professional ethics.
Appraisal Product - Please check applicable box:
Single Family Dwelling Condominium Multi Unit (2-4 Unit) Commercial Other (please specify):
Mortgage Type - Please check applicable box:
Conventional FHA If FHA please provide case number:
Please include any and all special instructions: Thank You!