Appraisal Request Authorization And Privacy Disclosure CREDIT REPORT - PERMISSION Privacy Disclosure Permission Granted YESNO Do you have a Co-Borrower? YESNO BORROWER / CO-BORROWER Co-borrower's Name Borrower's Name Address City/State/Zipcode Telephone Number Email Address PAYMENT INFORMATION Name on the Credit Card Credit Card Number Card Type VisaMaster CardAMEXDiscovery Security Code Address on Card TERMS & CONDITION Ver Terminos y Condiciones es Español Terms and Conditions I authorized LEN Financial Services to charge for the cost Appraisal Inspection price range from up to $485.00, for one single family. $680.00 for a duplex, additional fee may apply for a two to four family dwelling. I also Authorized to give my/our information to an appraisal company for payment of an appraisal and or appraisal review fee if required. This fee will range from $485.00 to $550.00 for SFR, 2-4 units $680.00 to $850.00, such as re-inspection free; forms such as 216, 1004, 2004c, 1004D, 1007, 1073 FNM, 1075, 465 FRE, 2000, 2055, 2090, 92051, etc. in the range from $175.00 to $350.00. You will only be charged the actual fees requested by third parties. I authorized to charge my Credit Card or Debit Card with any remaining balance at any given time during or after the process of the transaction, for the concept of appraisal, appraisal inspection, Survey, Credit Report, what if simulator, Credit Supplements, account dispute removal, Credit boost or any other fees unpaid for the result of getting a home loan I Agree with Terms & Conditions Agree *Your information will never be shared with any third party.