ONLINE APPRAISAL REQUEST FORM
PATRICK M. MACDOWELL
14 SUNFISH COURT
CAROLINA SHORES, NC 28467
CUSTOMER/CLIENT   DATE:
NAME:
ADDRESS:
TEL.:           CONTACT PERSON:
APPRAISAL TYPE
RESIDENTIAL LAND COMMERCIAL CONSULTING
FORM#(specify URAR   1004  etc.) FEE: $

SPECIAL INSTRUCTIONS
DATE NEEDED: NUMBER OF HARD COPIES:

SUBJECT PROPERTY OWNER INFORMATION
NAME:
ADDRESS: COUNTY:
STATE: ZIP:
CONTACT PHONE #'S
HOME:    WORK:    OTHER:

BILLING INFORMATION
BILL PROPERTY OWNER    BILL LENDER
SUBJECT PROPERTY INFORMATION (title info if available)
STYLE:   SQ. FT.:
BEDROOMS: BATHS:

OTHER: