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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. Click Here to download and print the form.

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Contact Information
Lending Inst/Client*:
Loan Officer*:
Lender/Client Address*:
City*:
State*:
Zip*:
Lender/Client Email*:
Lender/Client Phone*:
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 SurereceiptsPDF
Email Appraisal To:
Special Notes and Instructions:
 

Please note that additional copies of reports are subject to an additional charge.