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  Member Type Appraiser Lender
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  Company Name
Address
City ST ZIP
Phone & Ext FAX
E-Mail

SELECT YOUR COVERAGE AREA BY COUNTIES

If you only cover a partial county, then list the zip codes in the below section

Zip Code Areas you cover:
Please enter your serviced area zipcodes. Use the input format as follow:
Example: 91201,91045,91100-91200...

Can you do commercial Appraisal assignments? Yes No
Do you have 'REO' Appraisal Experience? Yes No
Expected turn around times on
a delinquency or pre-foreclosure Drive-by: Days
an 'REO' or Interior/Exterior Inspection Days

Your base fee for a
pre-foreclosure Drive-by:  $
full Int./Ext. Inspection 'REO':  $

Your License/Certification# Expiration Date

Do you carry E&O Insurance? Yes No
Your Policy Number Expiration Date

Three Trade References
Contact NameCompanyPhone and Ext.
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