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Land Home Financial Services accepts MasterCard and Visa for payment of appraisal fees. To pay appraisal fees using a credit card, simply complete this form.
We process credit card payments upon receipt.
For Brokers in California, Nevada and Washington
click here:
www.goapple.com
For all other states use this form.
hereby authorize Land Home Financial Services, Inc. to charge my credit card account in the amount not to exceed:
$400.00
for appraisal fees.
Please charge to the following credit card:
MasterCard
Visa
First Name as it appears on the card:
Last Name as it appears on the card:
Billing address of the card:
Billing City:
Billing State:
Billing Zip Code:
Credit Card Number:
Expiration Date (Month)
/ (year)
CSC/CSV Number on back of card:
eMail Address :
I understand I am responsible for payment of the appraisal regardless of findings and valuation of the property.
Broker Name:
Ordered by:
Borrower full name:
Property Address:
Purpose of loan:
Contact person to gain entry into subject property:
Contact phone number:
AMX Account Executive:
AMX Account Manager:
