KLH 7.9.21

APPRAISAL REQUEST FORM

SECTION 1 – PROPERTY LOCATION & GENERAL INFORMATION:

DATE: APPRAISAL ORDER TYPE:

NAME OF BORROWER:

NAME OF PROPERTY OWNER:

CONTACT INFORMATION:

PROPERTY ADDRESS:

CITY: COUNTY: STATE:

ZIP CODE: TAX PARCEL ID #: ACREAGE:

SECTION 2 – PROPERTY TYPE:

☐ Commercial ☐ Land ☐ Multi-Family ☐ 1-4 Family Rental

☐ Office ☐ Lodging ☐ Modular ☐ Primary Residence

☐ Retail/Strip Center ☐ Manuf. Home *** ☐ Church ☐ Second/Vacation Home

☐ Other:

☐ Mixed Use:

☐ Special Purpose:

SECTION 3 – IMPROVEMENTS:

☐ Unimproved Land ☐ Existing – No Changes Planned

☐ Existing – Plus Additions, Remodel or Repair:

☐ New Construction:

SECTION 4 – PROPERTY STATUS:

☐ Listed For Sale ☐ Not Listed For Sale ☐ Under Contract

SECTION 5 – VALUES:

☐ As-Is ☐ As-Complete ☐ Stabilized Value

SECTION 6 – APPRAISAL PURPOSE/USE:

☐ Purchase ☐ Refinance ☐ Review ☐ Construction

☐ Other:

SECTION 7 – APPRAISAL FORM TYPE - _________________:

☐ Narrative Summary Report ☐ Self-Contained/Comprehensive ☐ Evaluation ☐ Form Summary Report

☐ ***(no restricted use appraisal report to be used unless supplemented with additional information about the property

and its market as well as the data, reasoning and analyses that were used in the valuation process.)***

SECTION 8 – DOCUMENTS INCLUDED/TO BE PROVIDED TO APPRAISER:

☐ Sales Contract ☐ Deed ☐ Survey/Plot ☐ SDAT Printout

☐ Plans/Specs ☐ Leases ☐ Rent Roll ☐ Inc/Exp Statement

☐ Building Contract/Construction Costs ☐ Agreement of Sale ☐ Project Description

☐ Condo Questionnaire ☐ Other:

SECTION 9 – GENERAL REQUIREMENTS & INFORMATION:

Date Requested By: Sales Contract Date:

Other Instructions:

*** If Manuf. Home checked, appraiser to include evidence of HUD Data Plate and date of home in appraisal *** IF PROPERTY IN FLOOD ZONE APPRAISAL MUST INCLUDE ACTUAL COST VALUE

Requested By:

Telephone: Email:

SECTION 10 – INTERNAL USE:

Appraisal Ordered From:

Completed By: Quoted Cost: $

Business Development Officer: