Home About Us Our Staff Types of Appraisals Appraisal Application Form Contact Us Appraisal Application Form PDF Printable Version Order Number:          Loan Number:   Person Ordering Appraisal:   Company Name:          Phone #:   Address:   City:          State:   Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming        Zip:   Lender (if different from above):   Contact:   Address:          Phone #:   City:          State:   Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming        Zip:   Owner/Borrower:   (Subject) Address:   City:          County:          Zip:   Office Phone#:          Residence Phone#:   Sale Price:          Mortgage Amount:   Type of Appraisal  URAR (Form 1004)  Drive By (Form 2055)      Interior Inspection      Exterior Inspection  Land      Less than 5 acres      More than 5 acres  Reinspection  FHA     Case #    Commercial  Plans & Specifications  Estate  Other Appraisal Components Required  Subject Photos      Front View      Rear View      Street Scene  Comparable Photos  Location Map  Room Sketch  Outside Dimensions    Number of Originals Required    Number of Copies Required    Completion Dates Date fax copy to be received    Date original copy to be received    Payment for Services  Collect Appraisal Fee at Time of Inspection  Company ordering appraisal will pay compensation to Thompson-Moore Appraisal Services in one lump sum within 15 days of completion of the appraisal: Special Instructions:   Fee $:          Appraiser:

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Dan Moore Real Estate Services Inc. * 431 East Main Street * Brownsburg, IN 46112 Office: 317.852.8986 * Fax: 317.852.8988 * Email: thas01@sbcglobal.net