Request for Appraisal
Either submit form to have it sent to us via the internet, or print and fax to (760) 502-4000.

Part I - Request
1. To (Name and address of appraiser) City Appraisal Attn: Tomer Meghnagi 74-923 Hwy 111, #143 Indian Wells, CA 92210 (760) 275-6681 Fax: (760) 502-4000		2. From (Name and address} Phone: Email:
3. Signature of Lender	4. Title		5. Date
6. Name and address of applicant			7. Payment Select One COD Other, Please call or note in comments COD Amount:
Part II - Property and Mortgage information
8. Property Type Select One Detached Attached Condo PUD CO-OP 9. Occupancy Status Select One Primary Residence Second Home Investment Property No. of Units: 10. Type of Loan Select One Conventional FHA VA FmHA 11. Lien Position Select One First Mortgage Second Mortgage 12. Loan Purpose Select One Purchase Cash-Out Refi No Cash-Out Refi
13. Sales Price: $	14. Estimated Value: $			15. Loan Amount: $
16. Property Address		17. Legal Description
18. Escrow Company		19. Title Company
20. Listing Agent		21. Selling Agent
Part III - Appraisal Information
22. Due Date:		23. Type of Appraisal: Select One Interior/Exterior Exterior Only Market Rent Analysis
24. Contact for entry, if not same as borrower:		25. Comments