Supplemental Appraisal Experience Log
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1Supplemental Appraisal Experience Log
Last Name, First, MI (PRINTED)
2015 Revision
0
TOTAL HOURS:
Page _____ of _____
List assignments for which experience credit is requested. List ONLY the number of actual hours worked. Travel TO and FROM
assignments will NOT be accepted. Mark ALL the boxes that apply.
I have signed the Certification
I have ONLY provided detailed significant assistance
Date of Report
Address of the Subject
City
State
Client Name
Year
Month
Indicate Level of Inspection by Applicant: Interior/Exterior
Exterior Only Never Physically Visited the Subject
Market Area Analysis (zoning, etc)
H&B Use Analysis Sales Comparison Research
Cost Approach Analysis
Lease Analysis Income Approach Analysis Reconciliation
Applicant’s Work
Other – Describe:
Market Area Analysis (zoning, etc)
H&B Use Analysis Sales Comparison Research
Cost Approach Analysis
Lease Analysis Income Approach Analysis Reconciliation
Supervisor’s Work
Other – Describe:
Form Report
Narrative Report
Indicate Report Type: Summary
Restricted (Use)
Self-Contained
Appraisal Report
Co-inspected by Supervisor
Desk or Field Reviewed by Supervisor
Co-Appraised by Supervisor
Site Area
Hours
(Board Use Only)
Type of Property
Primary Improvement GLA
(SqFt or Acres)
Claimed
Adjusted Hours
I have signed the Certification
I have ONLY provided detailed significant assistance
Date of Report
Address of the Subject
City
State
Client Name
Year
Month
Indicate Level of Inspection by Applicant: Interior/Exterior
Exterior Only Never Physically Visited the Subject
Market Area Analysis (zoning, etc)
H&B Use Analysis Sales Comparison Research
Cost Approach Analysis
Lease Analysis Income Approach Analysis Reconciliation
Applicant’s Work
Other – Describe:
Market Area Analysis (zoning, etc)
H&B Use Analysis Sales Comparison Research
Cost Approach Analysis
Lease Analysis Income Approach Analysis Reconciliation
Supervisor’s Work
Other – Describe:
Form Report
Narrative Report
Indicate Report Type: Summary
Restricted (Use)
Self-Contained
Appraisal Report
Co-inspected by Supervisor
Desk or Field Reviewed by Supervisor
Co-Appraised by Supervisor
Site Area
Hours
(Board Use Only)
Type of Property
Primary Improvement GLA
(SqFt or Acres)
Claimed
Adjusted Hours
I have signed the Certification
I have ONLY provided detailed significant assistance
Date of Report
Address of the Subject
City
State
Client Name
Year
Month
Indicate Level of Inspection by Applicant: Interior/Exterior
Exterior Only Never Physically Visited the Subject
Market Area Analysis (zoning, etc)
H&B Use Analysis Sales Comparison Research
Cost Approach Analysis
Lease Analysis Income Approach Analysis Reconciliation
Applicant’s Work
Other – Describe:
Market Area Analysis (zoning, etc)
H&B Use Analysis Sales Comparison Research
Cost Approach Analysis
Lease Analysis Income Approach Analysis Reconciliation
Supervisor’s Work
Other – Describe:
Form Report
Narrative Report
Indicate Report Type: Summary
Restricted (Use)
Self-Contained
Appraisal Report
Co-inspected by Supervisor
Desk or Field Reviewed by Supervisor
Co-Appraised by Supervisor
Site Area
Hours
(Board Use Only)
Type of Property
Primary Improvement GLA
(SqFt or Acres)
Claimed
Adjusted Hours
Applicant’s Signature
Supervisor’s Signature
Mark this box if a Supervisor was NOT required for assignments on this page
Certification/License or SSN
Supervisor’s Cert. No.
RESET
PRINT
SAVE AS
505-0742
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