APPRAISAL FAX ORDER
FAX: (408) 247-7157 TEL: (408) 261-4300

ORDER DATE:_______________________________
REQUESTED BY:___________________________________
                               Signature of Person Placing Order (Required)
THE MERIDIAN VALUATION GROUP
2021 The Alameda, Suite 370
                                                        San Jose, California 95126                                       
Contact: Dawn Botto, Office Manager
PRINCIPALS: John W. Hibbard / Linda Lee

CLIENT INFORMATION
Company Name:  
Loan Officer:  
Company Address:  
Telephone:   Fax Number:  
Targeted Lender:  
Escrow Company:   Escrow Officer:  
Escrow Telephone:   Escrow Number:  
Loan Number:  

BILLING INSTRUCTIONS
* (All fields are required)

* Person Responsible for this Bill:

 
* Address of Responsible Party:  
* Telephone of Responsible Party:  
* Billing Instructions: BILL US       OTHER

If C.O.D., payment must be received on or before the scheduled inspection appointment or appraisal will not begin.
The Meridian Valuation Group DOES NOT accept payments through Escrow.
* COLLECT AT DOOR From:

SPECIAL INSTRUCTIONS (Attach additional sheets as needed)

 

PROPERTY INFORMATION
SALE                 REFINANCE   SALES PRICE OR VALUE ESTIMATION:
Property Street Address:
City: Zip Code:
Borrower(s) Name:
Access Information:
Owner: Home Phone: Work Phone:
Listing Agent: Phone Number(s):
Selling Agent: Phone Number(s):


IMPORTANT:  Attach the Following: Preliminary Report      Purchase Contract   Seller Disclosure

I CERTIFY THAT ALL THE INFORMATION ON THIS FORM IS CORRECT.  I FULLY UNDERSTAND YOUR PAYMENT TERMS AND AGREE TO THE PROPER PAYMENT BEFORE APPRAISAL BEGINS.  I UNDERSTAND THAT UNTIL THIS ORDER FORM IS APPROVED AND PAYMENT IS MADE, APPRAISAL WILL NOT PROCEED.  PAYMENT FOR ANY APPRAISAL ASSIGNMENT SHALL BE PAID ON OR BEFORE THE DATE OF INSPECTION.

________________       _____________________________________     ___________________________      _________________________
Date                                (Print/Type Name)                                                 (Signed)                                            (Title)