Please print, complete and fax this form back to 973-731-4909.
PAI Appraisers, Inc.
Mortgage Company
Appraisal Order Form
Name: _____________________________
Address: ____________________________
Date Requested: ____________________________
Rush Requested: Yes/No ______  Ordered By: ___________________
Contact #/Email: __________________________________
Loan Officer/Contact #: __________________________________
Borrower Information:
Name: ______________________________
Address to be Appraised: ____________________________________
Loan Information:
Loan #: __________________ New Construction: ________
Purpose of Loan: Refinance ____ Purchase ____ Investment Property ____
Purchase Price/Estimated Value: _____________________
Loan Type: Conventional ____ FHA ____ (Case #) ________________
First Mortgage Amount: __________ Second Mortgage/Equity Amount: __________
Type of Property: Single Family ____ Condo ____ Multi-Family ____
Type of Appraisal: 1004 Standard Appraisal ____ 2055 Exterior Only ____
2055 Interior & Exterior ____ 2065 ____ 2075 ____
Contact Information:
Name: ___________________________
Realtor/Builder: ___________________________
Homeowner: _____________________________
Home Phone #: ___________________ Work Phone #: ____________________
Cell/Other #: __________________________