Please answer all of the questions as completely and accurately as possible and click the "Submit" button located at the bottom of the form. We will contact you as soon as possible to confirm receipt of the order and supply you with an estimated completion time.
NOTE: Fields marked with * are required.
CLIENT INFORMATION
Name:
*
Company Name:
Street Address:
*
City, State, Zip:
*
Your e-mail:
Your phone #:
*
Your fax #:
SUBJECT PROPERTY INFORMATION
Borrower's Name:
Property Address:
*
Property City:
*
Property Zip:
*
Property County:
Property Type:
*
Appraisal Form:
*
Sales Price:
Estimated Value:
Loan Amount:
Contact Person:
Contact Phone:
Intended Use:
*
ADDITIONAL COMMENTS & SPECIAL INSTRUCTIONS
**Please explain any "other" selections from above**
Peter P. Kanton, President
Mulberry Professional Plaza
426 Mulberry Street
Scranton, Pennsylvania 18503
Phone: 570-346-2197/558-5268
Fax: 570-344-5911
www.kantonrealty.com
