REAL ESTATE APPRAISING & CONSULTING

Mortgage Broker / Brokerage Information

Company Name

Mortgage Broker

Email Address

Contact Number

Lender / Financial Institution Information

Lender Name

Lender Type A Lender B Lender Private Lender Mortgage Investment Corporation (MIC)

Email Address

Mortgage / Loan No.

Property Information

Property Address to be Appraised

Purpose of Appraisal Purpose of Appraisal Refinance Purchase

Estimated Property Value / Purchase Price ($)

Type of Mortgage Type of Mortgage First Second Third Switch/Transfer

Loan to Value (%)

Type of Appraisal Type of Appraisal Full Drive By Market Rent Only Land Appraisal Desktop

Assessment Type Assessment Type As Is Value As Complete Value Both As Is / As Complete Value

Do you require Add On Market Rent? Do you require Add On Market Rent? Yes No

Estimated Market Rent ($)

Contact Info For Entry

Contact Name

Contact Number

Contact Email Address

Relation to Property

Applicant(s) Name(s)

Applicant Contact Number

Payment Options Payment Options Collect from Applicant Collect from Broker

Additional Notes / Information

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If you would like to submit an attachment with your request please send it to appraisals@reac.ca.

We accept MC, Visa, Cash on Appraisal and Interac.