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Your Name: Company (if applicable): Your Phone Number: FAX: Email Address: PROPERTY INFORMATION Purpose of Appraisal: --Select Purpose-- Purchase Refinance Cash-out Refinance PMI Removal Relocation Set Sales Price Estate/Divorce Foreclosure/REO Other (explain) Appraisal Format Required: --Select Format-- Complete (URAR) 2055 Interior 2055 Exterior Only 2070/2075 Exterior Only 2070 Interior ERC (Relocation) Field Review Desk Review Complete Narrative Summary Limited Narrative Summary Other (Specify) County Location: --Select County-- Brazoria Ft. Bend Galveston Galveston Island Harris Montgomery Waller Other (explain) Type of Property: --Select Type-- Single Family Condominium Townhouse, fee simple Manufactured Home Duplex/Triplex/Fourplex Vacant Lot/Land Apartment Office Retail Industrial Other (explain) Value Range of Property: --Select Value-- $0 to $250,000 $250,000 to $500,000 $500,000 to $1,000,000 $1,000,000 and up Type Loan (if applicable): --Select Type Loan-- Conventional FHA Bank Other (explain) None Payment Method: Cash   Check or Money Order Credit Card   Approved Account How would you like to receive this quote? Phone:     Fax     Email  Comments (also explain any "other" selections made above):

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