Print out this order form and fax to Don at (530) 346-9621

An order for a Real Estate Appraisal from Don's Appraisals (Don Machholz)

P.O. Box 1716, 595 Hill Haven Dr., Colfax, CA.  95713

(530) 346-2083,  cell: (530) 320-8204,  fax: (530) 346-9621

License: CA AR 031595   Dontheappraiser@aol.com  www.donsappraisals.com

Client Information

Lender: _______________    Loan Officer: ____________________

Address: _________________________________________________

Phone #: ________________________________

E-Mail: __________________________________

(voice): (___)_____________    (fax): (___)_____________________

 Property Information

Resident name: ____________________________________________

Address: _________________________________________________

City, Zip: _________________________________________________

Contact Phones: __________________________________________

Borrower Information

Name(s): ________________________________________________

Home Phone: _____________________________________________

Other Phones: ____________________________________________

Reason for the appraisal: __________________________________

Appraisal Form: URAR (1004)  or  Non-Federal Finance Form  or  Ext Insp Only (2055) or List Price

Payment Method:  COD at inspection or Payment upon delivery of report or _________________________________________________

Do you need the cost approach calculated (if so add $25)? ____

I need this report by this date: ____________________

E-Mail Final Report to: _________________________________

Notes: ______________________________________________

Signed:_______________________________  Date__________