Southeastern Real Estate and Appraisals

Lender Contact Information - * indicates required field

*Client / Lender:
Your Order Reference Number:
*Loan Officer or Originator:	(Note: The Lender of record may not be changed after assignment is accepted by the Appraiser.)
*Address:
*City:
*State:
*Zip Code:
*Phone:
*Email Address:

Other Intended User (if applicable):

Other Intended Use:

Assignment Information

Type of Assignment:

Type of Value:

Type and Definition of Value (if other than Market Value):

Effective Date of Appraisal: (If "Other" please specify below.)

Specified Date of Appraisal:

*Subject Property Description (Specify the Property Address and any other information necessary to identify the property):

Specific Assignment Conditions (ex. URAR, Exterior 2055 or Other):

Phone: (office) 919.871.0105 (fax) 919.871.0107

Principal: Morrison L. Singleton - NC State Certified and FHA Approved Residential Appraiser