Gerald Cote & Associates, Inc. - Appraisal Order Form

Please note: Although it is unlikely that you will experience any problems using this form, some browsers may not respond properly. If you experience any difficulties, (or if you are not using a forms-capable browser) you may email your response to this form to: gcote@gcote.com.

Alternatively, you can download our printable order form in Adobe PDF format here.

Lender Code:

Order Date: (mm/dd/yyyy)

Fee: $

Lender/Client:	Bill Lender:
Lender Address:	Collect @ Door:

Phone #:	Fax #:	Loan #:
Processor:	Loan Officer:	Wholesale Lender:

*Loan Type (select one):*
Conventional	FHA	FHA Case #137:

*Property Type (select one):*
SFR	Condo	Attached PUD	Detached PUD
2-3-4 Flat	Other

Property Address:
City:	Zip:	County:

For purchases, please provide purchase price: $	I have a sales contract. (if checked, please fax)
For refinances, borrowers value estimate: $
For refinances, original purchase date: (mm/dd/yyyy) and purchase price: $
1st mortgage amount: $	2nd mortgage amount: $
Gerald Cote & Associates has previously appraised this property: Yes No

Borrower/Contact Information
Buyer/Borrower(s) Last Name:	First:
Co-Buyer/Borrower(s) Last Name:	First:
Contact (check one): Borrower Seller Listing Agent Selling Agent Builder
Contact name (if other than borrower):
Home Phone: Work Phone:
Cell Phone:

Appraisal needed by: (mm/dd/yyyy)	Any seller concessions:
Comments/Special instructions:

Email address:
Alternate Email address:
The appraiser has been engaged by the lender/client listed above to appraise the above mentioned property. "Once a report has been prepared for a named client(s) and any other identified intended users and for an identified intended use, the appraiser cannot "readdress" (transfer) the report to another party." This assignment will be delivered to the lender/client and the lender/client will be responsible for any unpaid invoice.
Lender's Signature:
Please sign. Online users please type your name.
We appreciate your business. THANK YOU!