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Online Order Form

Submit your order by filling out this form and clicking the Submit Form button at the bottom of the page. Asterisked (*) fields are required.

Date		*

CONTACT INFORMATION
Your Name		*
Company Name
Address		*
City, State, Zip		, * *
E-Mail Address		*
Phone Number		*
Fax

SUBJECT PROPERTY INFORMATION
Loan Agent
Subject's Address		*
Subject's City, State, Zip		, * * *
Borrower's Name		*
Loan Number
Property Type		*
Purpose of Appraisal		*
Sale Price or Estimated Value
Report Type		*
Contact Name for Inspection		*
Contact Phone Number for Inspection (if applicable)		home office mobile fax

REPORT OPTIONS
Request Due Date		*
Method of Payment		COD Bill *
Targeted Lender		*
Do you wish to have the report delivered electronically as a PDF?		Yes No *
Email Report To		*
Additional Comments

FILE UPLOAD		FILE 1
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Another File?


		FILE 2
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		FILE 3
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		FILE 4
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		FILE 5
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Please double-check your entries!

There is a 20 megabyte limit on uploaded files.

If you need to attach more than five files, you can zip them first into one file, and then upload the zipped file.

On Windows computers, you can use the free Winzip software available from winzip.com. On Macs, just select the files, right-click and choose Create Archive.

Wilkins Appraisal Services
3173 Royal Ave
Berkley, MI 48072

Phone: 248-930-0518
Fax: 248-544-2914
wilkinsappraisal.net