Application for Rating
If you wish to be rated and listed with our service, please provide the information requested. When you are done please click on the submit button. Fields marked with an asterisk(*) are required. Others are optional, but leaving them blank may result in a lower rating. Please turn cookies on in your browser if you have turned them off!
Contact Information
Your Name *	First Name, Middle Initial, Last Name
Title
Business Name *
Address 1 *
Address 2
City, State, Zip *	,  ALAKAZARCACOCT DEDCFLGAHIIDIL INIAKSKYLAMEMD MAMIMNMSMOMTNE NVNHNJNMNYNCND OHOKORPARISCSD TNTXUTVTVAWAWV WIWY
Phone # *	-- ext
Toll Free Phone #	--
Fax #	--
Mobile #	--
Pager #	-- pin
Email Address *	Example: yourname@website.com
Web Address (URL)	Example: www.appraisalratings.com
Management Contact	First Name, Middle Initial, Last Name
Administrative Contact (Secretary / Assistant)	First Name, Middle Initial, Last Name
Business Details
Year Established	2006 2005 2004 2003 2002 20012000 1999199819971996199519941993199219911990 1989198819871986198519841983198219811980 1979197819771976197519741973197219711970 1969196819671966196519641963196219611960 1959195819571956195519541953195219511950 1949194819471946194519441943194219411940 1939193819371936193519341933193219311930 1929192819271926192519241923192219211920 1919191819171916191519141913191219111910 1909190819071906190519041903190219011900
Company Type	Appraisal Appraisal Management Both
Current Business Form	C-Corporation S-Corporation LLC Sole Proprietorship Partnership LP Government Employee Other
Number of Employees	Full Time Part Time Contractors 0 1-3 4-6 7-10 > 10 0 1-3 4-6 7-10 > 10 0 1-3 4-6 7-10 > 10
Appraisal Volume	Fewer than 25 25 - 50 51 - 100 101 - 200 More than 200 Appraisals per Month (Average)
Appraisal Experience	Years
Qualification	No License Trainee Residential Certified Certified General
License/Certification #	State ALAKAZARCACOCT DEDCFLGAHIIDIL INIAKSKYLAMEMD MAMIMNMSMOMTNE NVNHNJNMNYNCND OHOKORPARISCSD TNTXUTVTVAWAWV WIWY   Exp.                                                                             mm/dd/yy
E&O Insurance	Insurer:
	Policy #   Exp.                                                                              mm/dd/yy
Organizations/Memberships	List (up to 1024 characters).
Designations Earned	List (up to 1024 characters).
Have you or your company ever been reprimanded by another agency?	Please explain (up to 1024 characters).
Service Details
Type of Appraisals	Residential Commercial Both
Certifications	VA FHA HUD ERC
Specialties / Expertise	A new window will appear.
Coverage Area	A new window will appear.
Appraisal Software / EDI Capability	A new window will appear.
Average Turnaround Time	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Day(s)
Payment Types Accepted	Cash Check COD
Member Login - To change information in your account later.
Password *  (1-20 Characters) Password * (confirm)   (Enter same as line above.) Password Hint (In case you forget)
Discount Code:
Additional Services
Yes, I wish to receive appraisal orders online.  Yes, I want to display my approval package online.  Yes, I wish to receive information about other appraisal-related services.
I have read this application, and everything I have stated is true.  I do subject to the terms of this application, and the Rating Agreement as it may be amended.  By clicking the "Submit" button below, you authorize AppraiserMatch.com, or a third party designated by AppraiserMatch.com, to verify your license status, insurance policy, and any other information in order to process this application, service your account and manage its relationship with you. AppraiserMatch.com does not share your personal information with third party advertisers.  Please review our Privacy Policy if you are unsure about how we use the information collected on this form.

  

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