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Application
Print Form. Formatted for Legal Size (8.5 x 14in) paper. Please Type or Print Plainly, then Mail / Fax.
Billing Information. This is the address you would like your bill sent. An E-mail will be sent when Application has been processed. We will bill you via US mail and Fax. This information Does Not Appear in your listing.
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Account Owner(s)
Trainee? Click Here before printing.
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___________________________________________
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Mailing Address
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___________________________________________
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Apt / Suite
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___________________________________________
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City
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___________________________________________
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State & ZIP
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___________________________________________
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E-Mail Address
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___________________________________________
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FAX Number
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___________________________________________
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License Information. Necessary to ensure that only properly licensed appraisers are advertised. We must have the State / License Number of any appraiser whose name appears on our site. We cannot list any appraiser that is not Licensed or Certified (ie - you must be able to sign your own appraisal.)
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Licensing State(s)
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License Number(s)
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Listing Information. ADVERTISEMENT Listing, as it is to appear on APPRAISERSdotCOM site:
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Company Name
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___________________________________________
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Appraiser's Name (Limit - 2 Names)
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___________________________________________
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Mailing Address
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___________________________________________
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Apt / Suite
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___________________________________________
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City
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___________________________________________
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State, ZIP
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___________________________________________
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Phone Number
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Toll Free Number
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___________________________________________
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Fax Number
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___________________________________________
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E-Mail Address (wdarden@earthlink.net)
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___________________________________________
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Web Page URL (www.yourname.com)
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___________________________________________
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Type of Appraisals (circle one)
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Residential | Commercial | Both
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VA Certified (circle one)
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Yes | No
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FHA Certified (circle one)
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Yes | No
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HUD Certified (circle one)
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Yes | No
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EDI Capable (circle one)
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Yes | No
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If yes, software:
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___________________________________________
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Text Section. Enter the information that you would like to appear in your text section. This section is limited to 45 to 50 words (3 lines on the site) and should be used to describe your company and what sets you apart from the rest. Remember that the people reading this information could be from anywhere in the country, or world, and will be judging your company by what they read here. We reserve the right to edit content to meet site requirements.
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Please list the state(s) and counties in which you wish your advertisement to appear:
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State, County
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State, County
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6
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I have read and understand the Contract with APPRAISERSdotCOM
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Signed
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___________________________________________
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Company
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Date Signed
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____/_____/_____
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