Synergy Appraisal Services

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Appraiser Information:

First Name: *

Last Name: *

Address: *

City: *

State: *

ZIP Code: *

Work Phone : *

Alt. Phone:

Email:*

FAX:

List states where you hold an active license/certification and level of licensure held:*

Which counties do you cover:*

Approximately how many appraisals do you complete in a week?

How many years have you been licensed? (include years before licensure laws if applicable)
Are you Certified?	Yes	No
Do you Perform Commercial Appraisals?	Yes	No

Do you have Review, ERC, REO, HUD and/or FHA experience (list all that apply)?

Do you have errors and omissions insurance?

Yes

Have you ever had disciplinary action taken against you, or have you been party to an appraisal related lawsuit or E&O claim?

Yes

Have you ever been blacklisted by a lender, if so who and why?

Yes

What appraisal software do you use?

List three references:

Note: * are Required Fields.