Appraisal Request

Please print and fax this form to 573-775-5256

Date _______________________________________________________________

Lender Name __________________________Contact _______________________

Lender Address ______________________________________________________

Lender Phone __________________________Fax __________________________

Lender Email _____________________________(appraisal will be emailed to this address)

Borrower/Customer Name ______________________________________________

Address of Property to be Appraised _____________________________________

City _________________________________County ________________________

Listing/Selling Company and Agent ______________________________________

Name Property is Listed Under at Courthouse______________________________

Property Occupant Phone Number ________________Work __________________

(Attach Copy of Sales Contract and Legal Description if Applicable)

Special Instructions