Appraisal Request Form
Please provide us with the following pertinent information. If you prefer, you can choose to print this form out and send it to us via facsimile or mail. We will confirm the receipt of all orders within one business day.

Property Information:

Type:

Address:

City: State :

Zip:

Purpose of Appraisal:

Sales Price or Estimated Value:

Current Owner:

Borrower Name (if sale):

Contact for Accessing Property:

Contact Phone Number:

Client Lender Information

Name:

Address:

City: State:

Zip:

Contact Name:

Contact Phone Number:

Contact Fax Number:

Contact Email Address:

Special Instructions/Additional Information:




Gargulak Appraisal Services 801 Hammond Avenue, Rice Lake, WI 54868 (715) 234-9049, fax (715) 234-8590 email: info@gargulakappraisal.com

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