Montgomery Appraisal

Maroten and Associates	Phone: 800-839-0086 Fax: 415-459-0319

Fax Order Form

Service Requested (Circle one):

Appraisal Order

Comp Search

Type of Appraisal (Circle one):

Full appraisal

Drive by/2055

Exterior Only

Interior & Exterior

Payment Method (Circle one):

Bill

C.O.D.

Amount$_________________________

Subject Information
Borrower Name:	_____________________________________________
Property Address:	_____________________________________________
City/State/Zip:	_____________________________________________
Rental (Circle one): Yes / No If Yes, Monthly Rent$:___________________

Purpose (Circle one):
Purchase
Refinance

Sale Price/ Est. Value $:	____________
Loan Amount $:	____________
Client’s Minimum Value Estimate $:	____________

(If known)

Size (ft²): ___________ # Bedrooms: _________ # Baths: ___________

Updating/Remodeling: _______________________________________________________________________

Pool / Other Amenities: _______________________________________________________________________

Access Contacts:	______________________ , Work Phone:___________________ , Home Phone:___________________ ______________________ , Work Phone:___________________ , Home Phone:___________________

(For Montgomery Appraisal Office Use Only)

File #:________ Acct Mgr.:________ Appraiser:________ Census Tract #:________ Map Code:________

Fax: 800-839-0086