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                          HAS, Inc. APPRAISAL REQUEST Email from site or fax to 740-384-4254 
Property address:______________________________________________________________                     ____________________________________________________________ 
County:___________________________________________________________________   
Borrower:____________________________________________________________Owner (if different from borrower):_______________________________________   
Realtor (name and phone #):____________________________________________                                               _____________________________________________ 
Contact for appt. (name):_______________________________________________                    (phone numbers):_______________________________________________                                            ______________________________________________ 
Ordered by (company name & address):___________________________________                                                              ___________________________________                                    (individual's name):___________________________________ 
Sale Price, Loan Amt., Estimate of Value, etc.:_____________________________   
Legal Description:_____________________________________________________                                 _____________________________________________________ 
Comments:___________________________________________________________                        ___________________________________________________________ 
Deliver via (mail to, fax to, email to, etc):__________________________________ |