The Iversen Company - Order Form

PO BOX 1210
Pleasanton, CA 94566
(925) 484-0939
(925) 484-0936 Fax
info@theiversencompany.com


Order Form Welcome to our appraisal request order form. Please fill out the information that applies and upon completion click the "Submit Order" button. Your request will be confirmed by the next business day. At the same time, the fee and due date for the requested service will be confirmed.

Request Date:		Due Date:
Service(s) Requested:
FNMA 1004MC (Market Conditions) Form - $50 Full Appraisal for SFR/PUD/Condo - $350 Full Appraisal for Values Over $1 Mil/Over 4000 sq.ft./Acreage - Call for Quote FHA Appraisal for SFR/PUD/Condo - $450 Rental Survey / Operating Income Statement - $150 2-4 Small Residential Income Property - $650 Drive-by Appraisal (Form 2055) - $300 Drive-by Appraisal (Forms 2070 / 2075) - $250 Appraisal Update with Gridded Comparables - $300 Appraisal Update without Gridded Comparables - $250 Desk Appraisal Review SFR / PUD / Condo / 2-4 Small Residential Income Property - $200 In Field Appraisal Review for SFR/ PUD / Condo - $250 In Field Appraisal Review for 2-4 Small Residential Income Property - $350 Certification of Completion (442) - $75 Relocation Appraisal (ERC) - $750 Land / Lot Appraisal - Call for Quote

Client Information :
Name:
Address:
City:		State:	Zip:
Contact / Requestor:
Phone:		Fax:
Email:

Subject Property Information :
Borrower's Name:
Borrower's Phone:	Home:
	Work:
	Cell:
Subject Property Address:
City:		State:	Zip:
Type of Transaction:
Sale Price:
Loan Amount:
Estimated Property Value:
Occupancy:
	Detached Attached PUD Condo Land 2-4 Small Residential Income # of Units Other
Property Type:
Square Feet:		Year Built:
Bedrooms:		Baths:
H.O.A.:	Dues Amount / Management Contact:


Additional Information:
	(e.g. special features / conditions, updating / remodeling, amenities such as pool, etc., FHA case number, loan number, rent ...)

Access Information: (If not the same as the borrower)
Listing Agent:		Phone:
Selling Agent:		Phone:
Other:		Phone:

Payment Information:

Comments: