FAX ORDER FORM      PLEASE PRINT, COMPLETE AND FAX TO
                                       HOLGATE APPRAISAL:   415-738-5375
CLIENT INFORMATION
Loan Agent/Processor:     ______________________________________________

Company:                             ______________________________________________

City/State/zip:                      ____________________________________________
_

Phone:                                  ______________________________________________        

Fax:                                        ______________________________________________       
                               
Payment method (check one)                       COD   (   )        Credit Card   (   )

Purpose for appraisal (check one)               Purchase   (   )        Refinance   (   )       Other   (   )  _______________

Sales Price/Estimated value                        $__________________

Loan amount/Minum value                           $__________________
CONTACT FOR PROPERTY ACCESS

NAME:    ________________________     HOME PHONE:     ________________________

                                                         
          WORK PHONE:      ________________________

                                                          
         CELL PHONE:        ________________________
Additional Comments:
SUBJECT INFORMATION

BORROWER NAME:           ____________________________________________

PROPERTY ADDRESS:       ____________________________________________

CITY/STATE/ZIP:                 ____________________________________________

APPROX SIZE  sq/ft:          ______________       # BEDS / BATHS:   ___________  

SFR:  (   )        CONDO:  (   )        MULTI:   (   )        PUD:  (   )