APPRAISER APPLICATION FORM
(Please print, complete and fax to 877-692-8825)
Dear Appraiser Applicant:
Due to technical difficulties experienced by the server provider, please print and fill out this hard copy of the appraiser application form and fax it to 877-692-8825.
APPRAISER APPLICATION:
NAME:__________________________________________________________________________________
BUSINESS STREET ADDRESS_____________________________________________________________
CITY__________________________________STATE____________________________________________
OFFICE PHONE_________________________FAX PHONE_______________________________________
CELL PHONE___________________________OTHER PHONE____________________________________
E-mail address___________________________________________________________________________
STATE OF PRIMARY LICENSE______________________________________________________________
SECONDARY STATE LICENSE______________________________________________________________
CHECK ONE: Certified General____________Certified Residential____________Licensed_________
STATE LICESNE OR CERTIFICATION# PRIMARY STATE_______________________________________
STATE LICENSE OR CERTIFICATION# SECONDARY STATE____________________________________
AREAS SERVICED BY COUNTY_____________________________________________________________
________________________________________________________________________________________
HAS YOUR APPRAISER LICENSE EVER BEEN SUSPENDED OR REVOKED: YES_______NO________
Please complete and sign. I, ______________________________, acknowlwdgw that I am applying for a position as an Independent Appraiser Contractor and acknowledge further that this application is not an application for a position of employment as a direct employee of US HVCC APPRAISAL MAANAGEMENT AND COMPLIANCE GROUP. I acknowledge further that as an Independent Appraiser Conractor, should I be accepted and receive fees for services rendered, I am responsible for and and all Federal, State and Local Income Taxes. I have enclosed a completed W-9 for the Contractor File.
______________________________________________ ______________________________________
Signature Date
Please fax the completed application to 877-692-8825 and include your License/Certification, E and O, Resume and List of Fees for 1004, 1025, Condo, Coop, Land, 2055 Interior and Exterior, Desk and Field Review both for Conventioanl and FHA. General Appraisers, please include your fee schedule for mixed use structure (2 apartments and store), small residential income property (5 - 8 family) and 8 family and above, free standing commercial buildings such as warehouse, small office buildings, taxpayer.
