Verification Form Of Supervised Appraisal Experience
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1
2NORTH CAROLINA APPRAISAL BOARD
5830 Six Forks Road, Raleigh, NC 27609
Phone 919/870-4854
VERIFICATION OF SUPERVISED APPRAISAL EXPERIENCE
Reporting Form
The undersigned licensed or certified appraiser hereby certifies to the North Carolina Appraisal Board that he/she:
1.
Actively and personally supervised the (check one)
registered trainee
licensed residential appraiser
certified residential appraiser named herein in the conduct of the appraisal described below;
2.
Reviewed the appraisal report and supporting data used in connection with the appraisal described below;
3.
Signed the appraisal report;
4.
(Check one)
accompanied on inspection
did not accompany on inspection of the appraised property; and
5.
Furnished a copy of this form to the trainee or appraiser, and placed a copy of this form in the supporting file for
the appraisal.
PLEASE PRINT
TRAINEE/ASSISTING APPRAISER'S NAME:__________________________________REG/LIC/CERT #________
SUPERVISING APPRAISER'S NAME:________________________________________APPRAISER # ________
DATE SUPERVISOR DECLARATION FORM SENT TO APPRAISAL BOARD: ___________________________
ADDRESS OR DESCRIPTION OF PROPERTY APPRAISED SUFFICIENT TO IDENTIFY APPRAISAL (including
office file number, if applicable):
_____________________________________________________________________________________________
_____________________________________________________________________________________________
TYPE OF PROPERTY APPRAISED (check one):
Residential (1-4 units)
Single-Family
Multi-Family (2-4 units)
Vacant Lot (1-4 Units)
Farm (Homestead-less than 100 acres)
General
Land
Residential Multi-Family (5-12 units)
Residential Multi-Family (13 + units)
Commercial Single-Tenant
Commercial Multi-Tenant
Industrial
Institutional
PERCENTAGE OF WORK PERFORMED ON THIS APPRAISAL BY ASSISTING APPRAISER: _______%
APPRAISAL REPORT DATE:_____________________________________
DESCRIPTION OF ASSISTANCE PROVIDED (See examples on reverse side. Attach additional sheets if necessary):
______________________________________________________________________________________________
_____________________________________________________________________________________________
______________________________________________________________________________________________
________________________________________________________
_____________________________
(Supervising Appraiser's Signature)
(Date)
A COPY OF THIS COMPLETED FORM SHOULD BE FURNISHED TO THE ASSISTING APPRAISER
(OVER)
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