Real Estate Appraisers Supplemental Application
REAL ESTATE APPRAISERS SUPPLEMENTAL APPLICATION
REAL ESTATE APPRAISERS SUPPLEMENTAL APPLICATION (To be used in conjunction with the Miscellaneous Professional Liability Application)
1. How many licensed appraisers does the Applicant firm employ? How many trainees does the Applicant firm employ? 2. Please provide a percentage breakdown of appraised work (total must equal 100%): Commercial Appraisals: % Residential Appraisals:
3. Please provide a percentage breakdown of appraisal clients (total must equal 100%): FHA/VA: Banks/Savings & Loan: % Investor: % Developer: Appraisal Management Co.: % Other (please describe): Mortgage Co.: %
% % % %
4. 5. 6. 7. 8.
What is the approximate number of appraisals performed annually?
What is the average estimated property value appraised in the past 12 months? Please list the three largest appraisals performed in the past 12 months: Description of Property:
$
Property Value: $ $ $
How many properties appraised in the past 12 months are valued in excess of $50 0,000? Does any of the Applicant’s work involve appraisals of proposed development? If Yes, what percentage of the Applicant’s work involves this activity?
・ Yes ・ N o %
9. Does the Applicant have any ownership interest in any of the properties that have been or will be appraised? ・ Yes ・ No If Yes, please provide the percentage of ownership: % 10. Does the Applicant also perform home inspections on the properties on which it has performed appraisals? ・ Yes ・ No
It is understood and agreed that this supplemental application shall become a part of the application for Professional Liability Errors & Omissions Insurance. THE APPLICATION MUST BE SIGNED AND DATED BY AN OWNER, OFFICER OR PARTNER. Applicant Signature:
Date (Mo-Day-Yr):
Name and Title (Please Print):
Business Risk Partners, Real Estate Appraisers Supplemental Application, 02.11
Page 1 of 1
REAL ESTATE APPRAISERS SUPPLEMENTAL APPLICATION (To be used in conjunction with the Miscellaneous Professional Liability Application)
1. How many licensed appraisers does the Applicant firm employ? How many trainees does the Applicant firm employ? 2. Please provide a percentage breakdown of appraised work (total must equal 100%): Commercial Appraisals: % Residential Appraisals:
3. Please provide a percentage breakdown of appraisal clients (total must equal 100%): FHA/VA: Banks/Savings & Loan: % Investor: % Developer: Appraisal Management Co.: % Other (please describe): Mortgage Co.: %
% % % %
4. 5. 6. 7. 8.
What is the approximate number of appraisals performed annually?
What is the average estimated property value appraised in the past 12 months? Please list the three largest appraisals performed in the past 12 months: Description of Property:
$
Property Value: $ $ $
How many properties appraised in the past 12 months are valued in excess of $50 0,000? Does any of the Applicant’s work involve appraisals of proposed development? If Yes, what percentage of the Applicant’s work involves this activity?
・ Yes ・ N o %
9. Does the Applicant have any ownership interest in any of the properties that have been or will be appraised? ・ Yes ・ No If Yes, please provide the percentage of ownership: % 10. Does the Applicant also perform home inspections on the properties on which it has performed appraisals? ・ Yes ・ No
It is understood and agreed that this supplemental application shall become a part of the application for Professional Liability Errors & Omissions Insurance. THE APPLICATION MUST BE SIGNED AND DATED BY AN OWNER, OFFICER OR PARTNER. Applicant Signature:
Date (Mo-Day-Yr):
Name and Title (Please Print):
Business Risk Partners, Real Estate Appraisers Supplemental Application, 02.11
Page 1 of 1
