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Information Request / Appraisal Order Form
I. Requester Information:
Name:

Company:

Office Phone:

Other Phone:

E-mail Address:

II. Property Information:
Borrower / Owner:

Address:

Refinance Value:

Purchase Price:

Appraisal Type:
(Single Family = 1004 or 2055, Condo, 2-4 Units, Drive-By, Field Review)

Date Needed:

Quoted Fee:

Method of Payment:

Special Information:
(PUD contact, recent remodel dates, etc.)

III. Contact Information:
Listing Agent / Borrower / Other:

Name:

Company:

Office Phone:

Cell Phone:

Other Phone:

Email Address:

Thank you!
  Ebert Appraisal Services, Inc.
e-mail: James@EbertAppraisals.com
Ventura County Office Los Angeles Office
638 Lindero Canyon Road, Suite 317
Oak Park, California 91377
(818) 991-9322 • fax: (818) 991-2866 		8726 S. Sepulveda Blvd., # Suite B-265
Los Angeles, CA 90045
(310) 322-6268

Los Angeles County • Ventura County • Orange County • Santa Barbara County

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