New Commercial Client Appraisal Request Form

To start the appraisal process, complete the following form with information you have readily available. Leave unknown fields blank. A Brubaker and Associates representative will contact you and we can complete any and all information that we need at that time.

Required fields are in BLUE

Client Information
Company Name:
Email Address:
Date needed:
Address:
City:
State:	Zip:
Name of Contact:
Phone:	Cell Phone
Fax:
Loan Officer:
Processor:
Subject Property Information
File Number:
Borrower Name:
Address:
City:
State:
County:	Zip:
Lot:
Block:
Section:
Subdivision:
Contact for Entry Information
Company Name:
Contact Name:
Office Phone:
Home Phone:
Cell Phone:
Other Contacts:
Appraisal Information
Sales Price:
Loan Amount:
Type of Appraisal: If other, please specify in Additional Instructions* field below.
Specify if FHA:
Total Points Paid:
Seller Points Paid:
Interest Rate:
Est. Closing Date:
Additional Instructions:
Please let us know the primary reason[s] you need an appraisal. Examples may include PMI removal, divorce or estate settlement, lawsuit, etc. This will help us to properly serve your needs.