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Kirchmeyer & Associates, Inc.
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Online Appraisal Order Form
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Welcome
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Thank you for choosing Kirchmeyer & Associates, Inc. for you appraisal needs. If you would like detailed instructions on how to fill out this form, click here for our Online Appraisal Order Guide.
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Referral Code
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If you were provided a referral code, enter it in the box below and click Apply. If not, you may continue filling out the form below to submit your appraisal request.
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Enter your referral code here: (This page will refresh after applying referral code)
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Fee Quote
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If you were provided a quote ID, enter it in the box below and click Apply. If not, you may continue filling out the form below to submit your appraisal request.
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Enter your quote ID here: (MUST BE A NUMBER. This page will refresh after applying quote ID)
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Client/Lender Information
Already have a user account with us? Click here to log into your account.
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Company Name:
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(If applicable)
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Your Name:*
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Your Email Address:*
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Address:*
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City:*
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State:*
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Zip Code:*
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Telephone:*
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(i.e. 7165551234)
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Fax:
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(i.e. 7165551234)
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If broker, indicate most probable mortgage bank:
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Property to be Appraised
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Borrower First Name:*
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Borrower Last Name:*
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Borrower Email Address:
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Property Address:*
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Zip Code:*
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City:*
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State:*
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County:*
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Property Type:*
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Loan Type:*
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Loan Number:*
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Sale Price:
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FHA Case #:
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Contact to Gain Access
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Check here if contact is same as borrower
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Contact First Name:*
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Contact Last Name:*
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Primary Home Phone:*
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(i.e. 7165551234)
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Secondary/Work Phone:
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(i.e. 7165551234)
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Type of Appraisal Requested*
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Request Complex Fee Quote |
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| Request Two Appraisals |
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Fee Quote
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Appraisal Fee Quote$0.00* *Fee subject to change based on complexity and uniqueness of property or area.
If the Appraisal fee is changed, we will contact you before we proceed with the appraisal.
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Payment Information*
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How will you be paying for this appraisal?
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Delivery Instructions*
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Client Delivery: How would you like to receive the completed appraisal report?
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Where would you like the report delivered to?
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Special Instructions & Additional Documentation
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You may include additional instructions required to complete this appraisal.
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You may also include additional documents required to complete this appraisal.
Click here to upload documents.
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Security*
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To continue, please enter the following security code in the box below.
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| Security Code: |
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| Enter Security Code: |
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Additionally, we have recorded your IP Address as 192.168.250.10 to prevent erroneous or fraudulent orders.
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