Martinez, Sharmat & Associates
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Appraisal Request
Fields with red asterisks (*) are required:

Lender/Client Information
Contact Person
*

Client/Lender Name*
 
Address
City
State
ZIP Code
Phone*
 
Fax
 
Cellphone
 
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 Phone
Work Phone
Cellphone
Co-Borrower
Home Phone
Work Phone
Cellphone
Appraisal Contact
Contact Name*
Contact Designation*
Home Phone
Work Phone
Cellphone
Fax
Email Address
Owner's Name
Occupancy*
Property Information
Property Address*
City*
State* (Select one)
 Illinois   Indiana
ZIP Code (if known)
Legal Description of Property
Parcel ID# (PIN)
Real Estate Taxes
Tax Year
Are you submitting a Plat of Survey?*                        Yes   No
If yes, please
email or fax to (708) 889-1201.
Appraisal Type
Type of Property*                        Residential   Commercial/Multi-Family
If residential, please select a type from the residential list that follows.
If commercial, please select from the commercial list below.

Residential Appraisal Type

Commercial/Multi-Family Appraisal Type

If requesting an "As Is" & "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 & Expense info?   Yes   No
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)?
Yes   No
Comments
Please use this box to provide clarification of any answer above and/or relevant information not covered above:

Please scroll back up and check all your answers carefully before clicking on the "Submit" button below:

    

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