Route 9W and Sunset Drive
P.O. Box 1004, Port Ewen, New York 12466
P: 845.331.8545 F: 845.339.1665

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Photo by Jeff Severson
Photo by Jeff Severson
Photo by Jeff Severson

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: 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:

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.

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

Office Hours
9:00 AM to 5:00 PM, Monday through Friday

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