REAL ESTATE APPRAISING & CONSULTING BROKER APPRAISAL ORDER FORM Broker Appraisal Mortgage Broker / Brokerage Information Company Name Mortgage Broker Broker Email Broker Contact Number Lender / Financial Institution Information Lender Name Lender Type A LenderB LenderPrivate LenderMortgage Investment Corporation (MIC) Lender Email Mortgage / Loan No. Property Information Property Address * Purpose of Appraisal * RefinancePurchase Estimated Property Value / Purchase Price ($) Type of Mortgage * First mortgageSecond mortgageThird mortgage Loan to Value(%) Type of Appraisal * FullDrive ByMarket Rent OnlyMortgage Investment Corporation (MIC)Land AppraisalDesktopOther Assessment Type As Is ValueAs Complete ValueBoth As Is / Complete ValueOther Do you require Add On Market Rent YesNo Estimated Market Rent ($) Contact Info For Entry Contact Name * Contact Number * Contact Email * Relation to Property Applicant Name(s) * Applicant Contact Number Payment Options Collect from ApplicantCollect from Broker Additional Notes / Information Submit If you are human, leave this field blank. Back to the homepage