Veri-Tech Appraisal
1844A Oak Hollow
Traverse City, MI 49686
phone: 231-935-4887
fax: 231-935-1797
vps@veri-tech.com
* Required field
General
Order Date
05/09/08
Loan Type*
Other
CONV
FHA
MSHDA
RD
If other specify
Form Type*
Other
1004
1025 Multi Family
2055 EXT
2055 Int/Ext
2065 Int/Ext
2070
2075 Ext Only
2075 Int/Ext
Condo
Desk Review
Form 2000 Field Review
Vacant Land
Progress Inspection
Repair Inspection
Final Inspection
If other specify
Case No.
Client File No.
Ordered By
Property Information
Address*
Street #
City
State
Zip Code
County
Antrim
Benzie
Charlevoix
Grand Traverse
Kalkaska
Leelanau
Manistee
Mason
Missaukee
Muskegon
Oceana
Wexford
Other
If other specify
Tax Id
Legal
Base No.
SEV No.
Sales Price
$
Refinance
Loan Amt. $
Sale Date
Borrower
First
Last
Owner
Certify Appraisal To:
Client
Branch
Address
City
State
Zip
Phone
Fax
Email*
Contact
Misc.
Bill To:
Client 2
Branch
Address
City
State
Zip
Phone
Fax
Email
Contact
Misc.
Primary Contact
Primary Contact*
Home Phone
Best time to call
Work Phone*
Secondary Contact
Secondary Contact
Home Phone
Best time to call
Work Phone
Special Instructions
