Residential Appraisal Order Form Hudson Valley Appraisal Corporation P.O. Box 1004 Port Ewen, New York 12466 P: 845.331.8545 F: 845.339.1665 Street Address: Route 9W and Sunset Drive Port Ewen, New York 12466 Required fields are marked with an asterisk (*): Client Requesting*: Address*: E-mail*: Ordered By: Client Loan (Ref) #: Phone*: Ext: Fax: Order Type: 1004 Form 1004C Manufactured Home 1025 Form: # of 2 3 4 Units 1073 Condo - Interior 1075 Condo - Exterior 2090 Coop - Interior 2090 Coop - Exterior Recertification (As of Original Effective Date of Appraisal) 2055 Exterior Only 2055 Interior Insp. Vacant Land Desk Review 2000 Field Review (One Unit) 2000A Field Review (2-4 Units) 1004D: Select... Compliance Certificate Appraisal Update Both 2075 Form Draw Inspection 2070 Form 704 Interior 704 Exterior MC Form: Yes No UAD Compliant: Yes No Intended Users: Intended Use: Purchase Refi Home Equity Construction Other FHA Case: Sales Price (If Applicable) (Please fax, e-mail or attach contract or plans and specs) Borrower Name: Home #: Work #: Co-Borrower Name: Home #: Work #: Property Address: Contact (Broker) Name: Home #: Work #: Pick Up Fee at the Door (COD)? Yes No (Certified Check/Money Order/Visa/Mastercard) We Do Not Accept Personal Checks Special Instructions: The person placing this order acknowledges that he/she represents the client indicated above and that he/she is authorized to act on behalf of said client. Please note, if you choose to provide us with a sales price, estimated value and/or mortgage amount, this information is provided for informational purposes only and is not a condition of this assignment.