Jon S. Curry, Appraiser 2070 Champlain Drive Boulder, CO 80301

Phone (720) 205-5554 Fax 303-664-1221 Pager 303-266-0483

Mortgage Company Info
Mortgage company name	Clarion Mortgage Mountain Pacific Mortgage Hometown Mortgage Other company - fill in below
Company name if Other
Procesor name
Mortgage co street addr
Mortgage co city
Mortgage co ZIP
Mortgage co e-mail
Mortgage co phone
Borrower Info
Select the appraisal type	1004 (Conventional) 1004 (FHA) Condo 2055 (Interior/Exterior) 2055 (Exterior) 2075 2070
Property street
Property apt# if any	#, Unit
Property city
Property ZIP code
Property legal description
Borrower name
Contact name, if different
Borrower home phone
Borrower work phone
Property sales price	$
Property est. value if refi	$
Property mortgage amt	$
Method of billing	COD Bill account Credit card
Special instructions