Request for Appraisal
FAX TO 832-201-6703

Part I - Request
1.  To (Name and address of appraiser)
SUSAN WIED
TEXAS VALUATIONS
1017 WOODLAND DR
HOUSTON TX 77530
(P)281-452-0507   (F) 832-201-6703		 2.  From (Name and address)
3.  Signature of Lender
 4.  Title 5.  Date 6.  Lender
7.  Name and address of applicant
Part II - Property and Mortgage Information
8. Property Type 9. Occupancy Status 10. Type of Loan 11. Lien Position 12. Loan Purpose
Detached Primary Residence Conventional First Mortgage Purchase
Attached Second Home FHA Second Mortgage Cash-Out Refinance
Condo Investment Property VA No Cash-Out Refinance
PUD FmHA
CO-OP No. of Units 
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:     Full            Drive By            Market Rent Analysis
24. Contact for entry, if not same as borrower:
Comments: