BCL Appraisals, Inc.

To order an appraisal, please complete the following form.

Client Information
*Please Note, fields marked with "" are required.**
*Your Name
Mortgage Company Name
Mortgage Company Address
Mortgage Company City
Mortgage Company State
Mortgage Company Zip
*Your Email Address
* Mortgage CompanyPhone
Mortgage Company Fax
Subject Information
*Address
*City
*State
*Zip
*Borrower
Seller (If applicable)
Contact for Entry
*Contact Name
Contact Phone - HOME
Contact Phone - WORK
Contact Phone - CELL
Other Information
Appraiser
*Type of Appraisal Needed (1004, 2055, 1073, etc.)
Purchase/Refinance	Purchase Refinance Other (Estate, Divorce, PMI Removal etc)
Property Type (single family, duplex, condo, etc.)
Sales Price/Value Estimate
Type of Loan (Conv, FHA, VA, Other)
Loan Amount
Fee
*Due Date
Delivery Instructions
Special Instructions

2855 Anthony Lane South
Suite 145
Minneapolis, MN 55418 USA
Voice: (612) 781-0605
Fax: (612) 781-7826

© 2005 BCL Appraisals, Inc.