Value Solutions

Value Solutions Request Form

Client (Your Business Name)
Client Address
Client Contact Name
Client Phone Number
Client Fax Number
Client Cell Phone No
Client Email Address (where report should be sent)

Appraisal Property Contact Information:

Contact Name for Access

Home Phone Number Work # Cell #

Product Type: (please mark all applicable):

Single Family Residential (full)
Condominium
Duplex
Triplex
Quadruplex
PUD
COOP
Drive-By
Manufactured Home
Residential Land
Desk Review
Field Review
Update of Value/Certificate of Completion (1004D Form)

Property Information

Address
City
State
Zip Code
County

Property Use (Please Mark One):

Owner Occupied
Tenant Occupied
Vacant

If Tenant Occupied is a Rent Survey (1007 Form) and Operating Income Statement (216 Form) Needed? (additional charges apply)

Yes
No

Additional Description of Subject Property: (updates, additions, etc.)

Loan Information: (if applicable)

Loan Number

Loan Type:
Purchase
Refinance
Construction

Borrower(s) Name(s)
FICO Score
LTV Ratio
Owner/Lender Estimated Value
Sales Price: (if applicable)
Wholesale Lender

Additional Loan Information:

Other Purpose for Appraisal:

Estate Litigation Other

Additional Info: (i.e. date of death, name on estate etc)

All requests are COD unless approved by Value Solutions beforehand