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NYSAN ~ New York State Appraisal Network 631-567-6776
www.newyorkstateappraisalnetwork.com
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Appraisal Management Agreement for Appraisal Services
Referred by NYSAN MEMBER if applicable:_______________________________
Lender/Company________________________ Phone_____________________
Contact________________________ [ ]Loan Officer [ ]Mtg Banker [ ] Mtg Broker
Fax #___________________________ E-Mail___________________________
I wish to order appraisal assignments in compliance with HVCC regulations to NYSAN.
631-567-6776, FAX: 631-563-7719; nysanamc@gmail.com
Your appraisal assignment will be assigned to a qualified, certified, insured appraiser for
your assignment. Your assignment is with the assigned appraiser. NYSAN is the referring
service to make sure that HVCC guidelines are met. NYSAN will send a letter with the
appraisal that HVCC guidelines have been met. The fee for the appraisal is paid at the door.
or to NYSAN y lender and the client of record is the lender client when the assignment is ordered.
The lender pays NYSAN and NYSAN pays the appraiser. The appraiser receive payment by NYSAN,
. Payment is made at the door or as agreed to by lender-client and timely mailed to NYSAN for each assignment
Appraiser cannot have direct communication with lender, at the inception of the assignment
as per HVCC regulations. NYSAN does not review the appraisal. We forward the appraisal
to the client and keep a copy to validate the appraisal has not been altered.
The client can terminate their relationship at any time. The client is only responsible for
appraisal fees associated with assignment ordered and received. Lenders who do not pay the
appraisal fee are subject to collection on appraisals not paid for.
Lender/Client Signature__________________________________ Date_______
Name_________________________________ Title_______________________
Contact Information:________________________________________________
Address__________________________________________________________
Town_____________________________ State________ Zip Code__________
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This form can be mailed to NYSAN as follows:
N.Y.S.A.N., 1461-16 Lakeland Ave., Bohemia, NY 11716
Questions? Call us at 631-563-7720 or 631-567-6776
or faxed to us at 631-563-7719
if you scan this document you can e-mail it to us at
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Notes for file: reserved for NYSAN Comments
Print this form and mail above; go to: www.newyorkstateappraisalnetwork.com
e-mail is to be sent to: nysanamc@gmail.com
NYSAN, Care of: Merrell Institute, 1461-16 Lakeland Ave., Bohemia, NY 11716