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TPO LENDER/APPRAISAL REQUEST FORM

TPO Lender Information
TPO Lender/Company Name: 
Address: 
City: 
State: 
ZIP Code: 
Phone: 
Email Address: 

Please order the appraisal on the below referenced Borrowers. It is understood that all appraisal fees are the responsibility of the TPO Lender.

Purpose of the Loan: Purchase (must submit executed Contract to Purchase)
Refinance
Construction-permanent

Additional Information/Special Instructions:

Borrower Information
Borrower Name: 
Subject Property Address: 

Inspection Contact
Party to Contact for Inspection: 
Work Phone: 
Home Phone: 
Cell Phone 1: 
Cell Phone 2: