N.Y.S.A.N. www.NewYorkStateAppraisalNetwork.com
1461 Lakeland Ave- Ste 17, Bohemia, NY 11716 631-567-6776 Fax: 631-563-7719
NYSAN Application (To be reviewed by NYSAN Staff) nysanamc@gmail.com
NYSAN is limiting enrollment, and reserves the right to exclude any appraiser as determined by NYSAN member guidelines
Appraiser Name_______________________________________ Firm Name________________________________________
Phone_______________________________________________ Fax _____________________________________________
[ ] Licensed [ ] Certified Residential [ ] Certified General License Number__________________________________
Address_______________________________________________________________________________________________
Town___________________________________________ State_____________ Zip Code____________________________
Web Site____________________________________________ E-Mail Address_____________________________________
In NYS, List Counties you appraise in_______________________________________________________________________
_____________________________________________________________________________________________________
Assignment accepted: [ ] Single Family [ ] 2-4 Family [ ] Condo [ ] PUD [ ] Cooperative [ ] Other____________________
I WISH TO JOIN NYSAN- NEW YORK STATE APPRAISAL NETWORK.
I WILL BE NOTIFIED AS TO THE PAYMENT SCHEDULE AND THE NET PAYMENT TO ME, THE APPRAISER.
SIGNED______________________________________________________________________ DATED__________________
PLEASE MAKE CHECKS PAYABLE TO NYSAN, 1461-17 LAKELAND AVE., BOHEMIA, NY 11716 631-567-6776
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[ ] I HAVE READ THE HOME VALUE PROTECT PROGRAM AND COOPERATION AGREEMENT AS SIGNED BY
THE ATTORNEY GENERAL’S OFFICE ( www.newyorkstateappraisalnetwork.com ) and DODD-FRANK.
[ ] I HAVE READ THE HOME VALUATION CODE OF CONDUCT ( www.newyorkstateappraisalnetwork.com)
[ ] I AGREE TO MEET OR EXCEED USPAP STANDARDS IN PERFORMANCE IN EACH ASSIGNMENT
[ ] I WILL MEET OR EXCEED THE NYS MANDATED 28 HOURS OF CONTINUING EDUCATION. I WILL SUPPLY
PROOF TO NYSAN. ALL NYSAN AFFILIATED APPRAISERS CERTIFY THEY ARE IN CEU COMPLIANCE.
[ ] I WILL IMMEDIATELY NOTIFY NYSAN IF I AM UNDER INVESTIGATION OR BEING INVESTIGATED BY THE NYS, DEPT.
OF STATE, DIVISION OF LICENSING SERVICES. I WILL SUPPLY NYSAN WITH DOCUMENTS RELATED TO SAME.
[ ] IN THE EVENT THAT YOUR LICENSE/CERTIFICATION IS SUSPENDED AND/OR REVOKED, NYSAN WILL BE NOTIFIED
IMMEDIATELY. APPRAISER WILL NOT BE ELIGIBLE TO ACCEPT APPRAISAL ASSIGNMENTS.
[ ] I HAVE ATTACHED A COPY OF MY LICENSE/CERTIFICATE FROM NYS, DEPT. OF STATE
[ ] I HAVE ATTACHED A COPY OF MY CURRENT APPRAISAL ERRORS & OMISSION INSURANCE
[ ] I HAVE ENCLOSED A CHECK, MADE PAYABLE TO NYSAN IN THE AMOUNT OF $ 100.00
[ ] I AGREE TO FILL OUT ANY AND ALL IRS RELATED FORMS, INCLUDING W-9’S WITHIN 5 DAYS OF REQUEST.
SIGNED__________________________________________________________________ DATED______________________
Your application will be reviewed by the NYSAN Staff. You will receive notification by mail as to your application, if accepted.
We are accepting a limited number of appraisers who will work together towards a common goal. Much luck and success.
NYSAN is attempting to keep appraisers working. We want appraisers to keep wel over 60% of their appraisal fees, and still meet
the objectives of the Attorney General's voluntary agreement and the mandatory Dodd Frank Guidelines.
NYSAN AMC Membership Application ~ Questions? Call us at 631-563-7720.
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