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(516) 797-6900

Eric Reeps
Ext. 138

Walter Klose
Ext 140

Fran
Ext 117

Frank  
Ext 142
 

 

Appraisal Order Form

Underlined Fields Are Mandatory

Your File # (optional): 

Property Address:

Property City:

Property State:

Property Zip Code:

Applicants Name:

Form Type:

PUD           2055 Exterior Drive-By

Recert              Single Family               Two Family

Inspection              Three Family               Four Family

Review              Condo             Co-Op          Commercial

FHA/Appraiser:               Remove PMI

Comments:

   Please Check if seller is paying closing costs - Amount: $

Contact Person:

Phone Number:

E-mail Address:

Selling Price:

Mortgage Amount: 1st 

Mortgage Amount: 2nd 

Value Estimate If Refinancing:

Special Instructions:

Ordered By:

Company Name:

Company Phone:

Company Email: 

Company Address:

Investor:

Payment  Information

Type of Credit Card (Visa/Mastercard):

Name on Credit Card:

Credit Card #:

Exp. Date (mm/yy form):

By Clicking Submit, you authorize Reeps Appraisals, Inc.
to bill you through the credit card you provided above.