Appraisal Request Submission Form

Jon S. Curry, Appraiser
2070 Champlain Drive
Boulder, CO 80301
Phone (720) 205-5554
Fax 303-664-1221
Pager 303-266-0483

Mortgage Company Info
Mortgage company name
Company name if Other
Procesor name
Mortgage co street addr
Mortgage co city
Mortgage co ZIP
Mortgage co e-mail
Mortgage co phone
Borrower Info
Select the appraisal type
Property street
Property apt# if any #, Unit
Property city
Property ZIP code
Property legal description
Borrower name
Contact name, if different
Borrower home phone
Borrower work phone
Property sales price $
Property est. value if refi $
Property mortgage amt $
Method of billing

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