Appraiser Application
Please Fill in as many of the fields below as you can to continue.
Appraiser Name:
Business Name:
   
Business Address:
City:
    
State:
Zip:
County:
Business Phone:
Business Fax:
 Current Title:
State Licensing and Certification
State:
License:
 Yes: No:
Certified:
 Yes: No:
Number:
Expires:
State:
License:
 Yes: No:
Certified:
 Yes: No:
Number:
Expires:
State:
License:
 Yes: No:
Certified:
 Yes: No:
Number:
Expires:
State:
License:
 Yes No:
Certified:
 Yes: No:
Number:
Expires:
Errors and Ommisions Insurance
Does Applicant carry Errors and Omissions Insurance?  Yes:
Appraisal Coverage
Please list your specific primary and secondary counties of coverage
Primary:
County
State
Secondary:
County
State
Are you HUD approved? Yes: Are you FHA approved? Yes:
Special properties such as REO/FHA?  Yes:
Years of experience:
Are you experienced in appraising SFR's for relocation companies on ERC forms?  Yes:
Please tell us how you heard of Central State Appraisal, L.L.C.: (Please check one)
Magazine Yellow Pages Job Fair Seminar
Internet Mail Referral Referral (please tell us whom):
Additional Information

Email:

Are you set up for EDI transmission?  Yes:
Software:
May we contact you by pager?  Yes: No:
Pager #:
 
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