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Order Form
Submit your order by filling out the form below and clicking the Submit button at the bottom of the page. You can also download and print out a request form and fax it to our office at 815.772.2729.
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Contact Information
Lending Inst/Client
*
:
Loan Officer
*
:
Lender/Client Address
*
:
City
*
:
State
*
:
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
MD
ME
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip
*
:
Lender/Client Email
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Lender/Client Phone
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:
Lender/Client Fax
*
:
Subject Property Information
Property Owner
*
:
Subject Address
*
:
Borrower's Name
*
:
Property Type:
Listing Agency/Realtor Phone:
Purpose of Appraisal
*
:
Contact Name for Inspection:
Contact # for Inspection:
Report Options
Requested Due Date:
Method of Payment:
Number of Copies:
Address to Send Report:
Delivery Options (Residential Appraisals Only):
Wintotal Surereceipts
PDF
Email Appraisal To:
Special Notes and Instructions:
Please note that additional copies of reports are subject to an additional charge.
