Appraisal Request Form Kline Lewis, LLC

Please enter information for all fields marked ** required**
Any additional comments or instructions can be submitted at the bottom of the request form.

Date Ordered
   Example 12/05/06   Today's Date    ** REQUIRED **

Client Name
     ** REQUIRED **

Client Address (Street / City / Zip Code )
   ** REQUIRED **

Property Address ( Street / City / Zip Code )
  ** REQUIRED **
                       
Borrowers  (homeowner)


Seller


Sale Price / Market Value If Applicable -$

  Example $1,000,000

Loan Amount
-Example $1,000,000

Contact Name
  ** REQUIRED **

Contact Phone
   Example 724-933-0488  ** REQUIRED **

Contact Email
   Example John@anywhere.com   ** IF AVAILABE **

Is the property listed for sale
  Enter YES OR NO

Realtor Name
 

Realtor Phone
-Example 724-933-0488
 

          SPECIAL COMMENTS OR INSTRUCTIONS