Appraisal Order Form

Dan Rogers & Associates, Inc.
Certified Residential Real Estate Appraisers
202 N. Morton Blvd, Modesto, CA 95354
1-209-579-1941 (bus.)
1-209-579-0933 (fax)
Service 2nd to none-Open 7 Days a Week

Appraisal Order Form

Fill out the information that applies in the form below and hit the "submit order" button at the bottom of the form. We will contact you as soon as possible to confirm receipt of the appraisal order and to make arrangements for inspection of the subject property.

Your Name:

Your E-mail:

Company Name:

Your Phone #: Your Fax #:

Street address: (where you want appraisal sent)

City: State: Zip:

Information about property to be appraised (subject property):

Borrower's name:

Subject address:

Subject City: State: Zip:

Subject Legal:

Sales Price: or Estimated Value:

Select Property Type, Type of Appraisal desired, and Purpose of Appraisal below:

Contact for access:

Phone (work): Phone (home):

Comments and Special Instructions (also explain any "other" selections from above):