Appraisal Order Form Ordered By (Bank or Individual) Loan Officer (if applicable) Mailing Address City State Zip Phone Fax E-mail Address of Property to be Appraised City State Zip Owner's Name (Seller) Home Phone Work Phone Buyer's Name (if available) Home Phone Work Phone Legal Description (if available) Brief Directions or Contact Personfor Directions to Rural Properties Type of Form 1004 2055 2075 Loan Purpose Sale Refinance Construction Repossession File Loan Type In House Secondary Market Loan Amount Closing Date Sale Price Original Comparable Sales Photos? Yes No Additional Comments Payment on independent appraisals (not for a financial institution) is required at the time of inspection. Home | Services | Order Form | Contact Town & Country Appraisal of Iron Mountain, Inc. 100 West "A" Street, Iron Mountain, MI 49801 906-774-9000 ~ FAX 906-774-9002 E-mail appraisals@town-countryappraisal.com