Appraisal Request Form

Martinez, Sharmat, & Associates Appraisal Request Form
Fields with RED ASTERISKS * are required
LENDER/CLIENT INFORMATION
Contact Person *
Client / Lender Name *
Address
City
State *
Zip_Code *
Contact Number *

Area Code Phone Number
Fax Number

Area Code Phone Number
Cell Number

Area Code Phone Number
Email Address
Intended Use of Appraisal *
Approach to Value
Report Format is generally "summary" unless otherwise discussed with MSA rep.
Report Format *
Loan Amount
Loan Type *
Sale Price
Loan #
FHA # (if applicable)
If this is a sale, please send us a signed sales contract via email or fax to (708) 889-1201.
Requested Due Date
Fee
Payment Method
BORROWER INFORMATION
Borrower (If there is no borrower, please enter "N/A.") *
Home Number

Area Code Phone Number
Cell Number

Area Code Phone Number
Work Number

Area Code Phone Number
Co-Borrower
Home Number

Area Code Phone Number
Cell Number

Area Code Phone Number
Work Number

Area Code Phone Number
APPRAISAL CONTACT
Contact Name *
Contact Designation *
Home Number

Area Code Phone Number
Cell Number

Area Code Phone Number
Work Number

Area Code Phone Number
Fax

Area Code Phone Number
E-mail
Owner's Name
Occupancy *
PROPERTY INFORMATION
Property Address *
City *
State *

Illinois Indiana
Zip Code
Legal Description of Property
Parcel ID # (PIN)
Real Estate Taxes
Tax Year
Are you submitting a Plat of Survey?

If yes, please email or fax to (708) 889-1201.
Submitting Plat of Survey? *

Yes No
APPRAISAL TYPE
Type of Property *

Residential Commercial Multi-Family
If residential, please select a type from the residential list that follows.

If commercial or multi-family, please select from the commercial/multi-family list below.
Residential Appraisal Type
Commercial/Multi-Family Appraisal Type
If Requesting An "As Is" or "Subject To" appraisal, please send us the budget proposal via email or fax to (708) 889-1201.
COMMERCIAL & MULTI-FAMILY PROPERTIES ONLY
Are you submitting Income and Expense info?
If yes, please email or fax to (708) 889-1201.

If no, please explain in the "Comments" field below.
Does subject property have in place any Long-Term Leases (5 years or more)?
COMMENTS
Please provide clarification to any answer above and/or relevant information not covered :
E-mail *
Should be Empty:

Martinez, Sharmat, & Associates Appraisal Request Form

LENDER/CLIENT INFORMATION

BORROWER INFORMATION

APPRAISAL CONTACT

PROPERTY INFORMATION

APPRAISAL TYPE

COMMERCIAL & MULTI-FAMILY PROPERTIES ONLY

COMMENTS