Field | Description |
Personal Information |
First Name | First name of the appraiser. |
Middle Initial | Middle initial of the appraiser. |
Last Name | Surname of the appraiser. |
Suffix | Suffix after the appraiser's Last Name (e.g., Jr. or III.), |
Date of Birth | Month, day, and year of the appraiser's birth. |
Social Security Number | Social Security Number of the appraiser. |
Gender | Gender of the appraiser. |
Ethnicity | Indicator specifying whether the appraiser is of Latino or Hispanic descent. |
Race(s) | Racial background of the appraiser. |
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Contact Information |
Home Address |
Street Address | Street address of the appraiser's residence. |
City | City in which the appraiser resides. |
State | State in which the appraiser resides. |
Zip Code | U.S. Postal Service Zonal Improvement
Plan (ZIP) code for the geographic location of the appraiser's residence. |
Is mailing address the same as home address? | Indicator specifying whether the appraiser's home address and mailing address are the same. |
Mailing Address |
Business Name | Business name under which the appraiser works. |
Street Address | Street address to which the appraiser's business mail is sent. |
City | City to which the appraiser's business mail is sent. |
State | State to which the appraiser's business mail is sent. |
Zip Code | Zip code to which the appraiser's business mail is sent. |
Contact Information |
Phone Number | Telephone number of the appraiser. |
Fax Number | Fax number of the appraiser. |
E-mail Address | Electronic mail address of the appraiser. |
Confirm E-mail | Repeat of the
appraiser's electronic mail address for verification. |
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Credential Information
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Credential Type | Classification of the appraiser's license. |
State | State in which the appraiser is certified/licensed. |
Credential Number | Appraiser's state license number. |
Expiration Date | Month, day, and year the license expires. |
Appraiser Certification |
Acceptance and Signature |
Full name of the appraiser (excluding name suffix) used as the:
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Appraiser's electronic signature confirming agreement and compliance with the terms stated in the Appraiser Certification. |
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Appraiser's electronic signature on the subsequent form HUD-92563-A, Application for Roster Personnel Designation. |
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