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| * Required Field |
| Appraisal Subcommittee – ASC.gov National Registry Search |
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Select your License State and enter your License Number to pre-populate from ASC.Gov National Registry.
Click here to verify your State License Number.
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* Select State Licensed:
State License Number:
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Please verify your license with the ASC.Gov National Registry.
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| Appraiser Contact Information |
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| * First Name: |
Enter your first name
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*Last Name: |
Enter your last name
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* Email Address:
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Enter your email address
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* Phone Number: |
ext.
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| Cell Number: |
ext. |
Fax Number: |
ext. |
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| * Company Name: |
Enter your company name
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* Company Type: |
Please select your Company type.
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| * Address: |
Enter your company address
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* Tax ID / SSN: |
Enter your 9 digit tax id.
Enter your 9 digit SSN.
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| Address 2: |
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* City: |
Enter your company city
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| * State: |
Enter your company state
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* Zip Code: |
Enter your company zip code
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| * W-9: |
Please upload your W9 tax from
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| E&O Company Information/Questions |
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| * E&O Company Name: |
Enter your E&O company name
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* Per Claim Limit: |
Enter your E&O per claim limit
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* E&O Policy Number:
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Enter your E&O policy number
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* E&O Expiration Date:
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Enter your E&O policy expiration date
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| * Upload E&O Document: |
Please upload your E&O insurance
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Within the last ten (10) years, have you been the subject of any disciplinary or
corrective action by an appraisal organization, state licensing board or other
regulatory body of a governmental entity as a result of your appraisal activities?
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Have you been notified of any investigation or review open at this time by any appraisal
organization, state licensing board or other regulatory body of a governmental entity?
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Have you ever been convicted of a felony, or arrested, indicted, or charged with felonious misconduct? If yes, please provide a written narrative of events.
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In the last ten (10) years, have any lawsuits or claims (including notice of a potential claim)
been made or filed against you? This includes lawsuits or claims, regardless if they were tendered
to an insurance company for coverage.
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Are you aware of any circumstances that may lead to the filing of a lawsuit or claim against you?
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| Appraiser Qualifications/Questions |
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| * Years of Experience: |
Enter years experience
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* Resume: |
Please upload your resume
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| * Residential Approved: |
Indicate if you are residential approved
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* FHA Approved: |
Indicate if you are FHA approved
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| * Are you competent to perform the following approaches to value? |
| *Sales Comparison (Market) Approach: |
Indicate Sales Comparison (Market) Approach
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| *Cost Approach: |
Indicate Cost Approach
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| *Income Approach: |
Indicate Income Approach
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To your knowledge are you or any Appraiser associated with the firm included on any government agency, Fannie Mae, Freddie Mac or Lender Exclusionary List?
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Have you had any disciplinary actions against you or your company from a state or federal licensing board as it relates to your appraisal license(s) or appraisals performed?
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Please select the state and add the counties you service from the County dropdown box.
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* State:
County:
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| Sample Appraisal 1: |
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Sample Appraisal 2: |
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| Crest AMC Registration Agreement |
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