Appraisal Order Form

You may E-mail an order using the following form, or fax your order to (618) 288-3105.

Please use the TAB key to move between fields.
Pressing ENTER will submit your order.

Name
Company
Address
E-mail
Phone
Fax:
Appraisal type (to select multiple items, hold down Control key and click on items to select)
Send Appraisal	EDI
	Hard copy by US Mail
	Hard copy by FedEx (addl $20 fee)
Date Needed
Property to be Appraised
Address
Sales Price OR Estimated Value
Parcel ID
*Contact Information*
Owner Name (s))
Home Phone
Office Phone
Borrower/Buyer
Home Phone
Office Phone
Real Estate Broker
Office Phone
Other Phone
*Special Instructions or Comments*

*Please fax copy of Sale Contract and Seller's Disclosure, if available to (618) 288-3105.*

After your order has been submitted successfully, you will see a Form Confirmation page, showing your entries for each item. If you see the Confirmation page, you can either Return to the Form to submit another order, or close your browser.

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Send mail to info@britsch-appraisals.com with questions or comments about this web site.

Last modified: October 10, 2005

Appraisal Order Form

Property to be Appraised

Contact Information

Special Instructions or Comments