Kordik & Associates, Inc.

Residential Real Estate Appraisal Order Form

276 N. Addison Avenue, Elmhurst, Il 60126

Phone: (630) 279-1960    Fax: (630) 279-2904



Lender / Client:   Person Ordering:     Loan Officer:

Address:                   City: St:  IL    Zip:

Phone:                  ext.:         E-mail address:   

Subject Property Information

Borrower:  First Name:                Last Name:       

Property Address:               City:     IL,   Zip:   

If borrower is contact:

His cell:    Her cell:     Home:      His Her Work:    ext:


If contact is other that borrower, please specify relationship. (Real Estate Agent, son ect.):

Name/relationship:      Main Phone:      Additional Phone:


           Conv.    FHA, Case #         Other, Describe:

Main Form Type:    Intended property occupant: Owner/Borrower      Tenant

Additional addenda if needed:   

Sale Price:    $    If not a sale, Estimate of Value:  $ Loan Amount: $

Additional Information:


Attachment with this order: Contract, Disclosure, Survey, Old Appraisal, ect:   

Description of attachment:

If you are an existing client under good standing and have been pre-approved for invoicing you only need to fill in payment method if you wish this order to be COD for your convenience. 

Payment Method:     COD is preferred to be cash or money order. If COD check does not fund, you the client/lender are responsible for payment in full within 30 days of completion of order along with any bank charges. If payment by credit card, for security purpose, please call our office with credit card payment information after order is submitted.

Fees and methods of payment must be completed at time of order to eliminate any confusion regarding payment responsibility.