Monday, July 22, 2024 
Appraisal Order Form

Please complete this online order form and click the “Submit” button. You will receive an automated reply from us notifying you that we are in receipt of your online appraisal order form. We will contact you as soon as possible with an estimated completion date.
Note: * denotes that the field is required.

Client Information
Name: *
Email: *
Company Name:
Street Address: * State:
City: * Zip: *
Phone #: * Fax #:

Subject Property Information
Borrower's Name:
Property Address: *
Contact Person:
Contact Phone:
Contact Person:
Contact Phone:
Property City: * Sales Price:
Property Zip: * Estimated Value:
Property County: * Loan Amount:
Property Type: *
Appraisal Purpose:
Appraisal Form: *
Method of Payment: *
Method of Delivery: *
Additional Comments:

PDF Fax Form [Download this form if you prefer to fax the request.]

J.J. Mantione Appraisal & Realty Group, Inc.
Telephone (570) 613-9080
Fax (570) 613-9081

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