Berg Appraisal Services, Request for Services

Step 1: Information

Date:
Attention:
Borrowers:

Subject Property Address:
Address:
City:
State:
Zip Code:

Step 2: Property Information

Single Family	Condo/PUD	2-4 Unit	New Construction	Non-Owner Occupied +$165.00 (Rent Schedule and Operating Income Statement required)
Mobile Home	Land

Legal Description or Parcel #:
Service Type:
Borrower's estimate value:

Step 3: Access Information

Access may be obtained from:

Borrower

Seller

Agent

Occupant

Other

Contact Information For Access Person

Name:		Phone:
His Phone #:		Her Phone #:

Step 4: Client Information

Address:		Email:
City:		Fax:
State:		Phone:
Zip Code:		Full Company Name:

Step 5: Receiving Information

Email *.PDF File	Recipients Email:
If you would like this package overnighted to you, please provide the following
Overnight Express Company Name:		Your Account Number:

Step 6: Special Instructions

Special Instructions or Concerns:
(Client agrees to the credit terms of Berg Appraisal Services, P.C.)

Step 7: Price and Quantity

The fee is estimated at $. If the fee is going to be different from this estimate, Berg Appraisal Services, P.C., will confirm with the person signing this form. The fee is due on delivery of the appraisal report. The client agrees to pay the fee within 30 days of receipt of the completed appraisal report. Mail or deliver sets of the completed report, with all addenda and exhibits to the client, listed below, on or before .

Step 8: Finalize

Signature:

Title:

Submit or print and fax to: 509-456-5339