Request for a Manufactured Home Retail Book Value Report

Please Note: This Book Value Request is for a retail book value report that is based on
information supplied by you, the customer. Once the information has been submitted,changes may not be made.
Appraisers: This format is not for use with the Fannie Mae 1004C or Freddie Mac 70B
appraisal forms.

Complete both pages of this form, and then fax it to the J.D. Power MH Department. Depending on the service
you select below, you will receive the retail book value report within one to two business days of us receiving
the completed form. Credit and debit cards are the only accepted forms of payment for this service.
Return Completed Form to:

Select Desired Service:

J.D. Power MH Department
Fax: (714) 556-6328
For Questions or Email Address
Call: (714) 619-2069(714) 619-0785$35 Two-Day Fee -  Email  Fax$45 Same-Day Fee -  Email  Fax(If Received by 2pm Pacific M-F)

Page 1 of 2

BILLING INSTRUCTIONS (Leave Card Number Field Blank if Submitting Form Through Email)
Card Type: Visa MasterCard

 American Express

Card Number: ______________________________________ Security Code: ____________
Expiration Date: ________________________________ (MM/DD/YYYY)
Name as Shown on Card: _______________________________________________________
Customer Signature: ____________________________________________________________

DELIVERY INSTRUCTIONS (Billing Address is Required on All Transactions)
Deliver Attention to (Required): ___________________________________________________
Billing Address (Required): _______________________________________________________
City (Required): ________________________________State:______ Zip: ________________
Telephone (Required): (Fax: () ___________________________________________________)_________________________________________________________________

Email Address: _________________________________ @ ____________________________DISCLAIMER
This Book Value Request is for a retail book value report that is based on information supplied by you, the customer. Once the information has been submitted,changes may not be made. Please double check that the information on this form is accurate and complete before submitting for processing.
Appraisers: This format is not for use with the Fannie Mae 1004C or Freddie Mac 70B appraisal forms.
The value of a used manufactured home can be significantly impacted by local market factors. The options and accessories listed here are those that are available
in this limited format. To account for specific local market adjustments, etc., please retain the services of a qualified appraiser to conduct a physical appraisal of
the subject home.
J.D. Power is not liable for any damages incurred by the use of a retail book value report. Please use this retail book value report as it is intended, as aguideline only.

GLOSSARY
Excellent – the subject home is like new, very attractive, and highly desirable.
Good – normal wear and tear are visible, but the subject home is well maintained, still attractive, desirable, and useful.
Fair – minor deterioration is apparent due to climate and/or deferred maintenance. The subject home is less attractive, but still useful.
Poor – signs of structural deterioration are obvious, and there are missing and/or broken component items. The subject home is definitely
undesirable, and only marginally useful.
Sq. Ft. – square feet; equals the measured width times length (i.e. 14’ x 65’ = 910 sq. ft.).
Qty – quantity (count of items).
© 2023 J.D. Power. All rights reserved.
Call (714) 619-2069 – Research Department (7:30am – 4:30pm PST)
Fax this form to (714) 556-6328

Request for a Manufactured Home Retail Book Value Report

Please Note: This Book Value Request is for a retail book value report that is based on
information supplied by you, the customer. Once the information has been submitted,changes may not be made.
Appraisers: This format is not for use with the Fannie Mae 1004C or Freddie Mac 70B
appraisal forms.

Page 2 of 2

GENERAL INFORMATION
Manufacturer Name: _________________________________________
Trade/Model Name: _________________________________________
State Home is Located in: _____________________________________
Date of Manufacture (Year): ___________________________________
Width: __________ x Length: ________Overall Condition:

 Excellent

 Good FairNote:
If the manufacturer name
and/or trade/model nameare not indicated, thevalue will be calculated
based on general building
quality categories.

 Poor (Choose One)

CONSTRUCTION FEATURES
House Type Roofing (Asphalt Shingle, Tile, Etc.)
House Type Siding (Vinyl, Cement Fiberboard, Etc.)



Porch (1) (Elevated) ................. _____ Sq. Ft.
 Aluminum  WoodPorch (2) (Elevated) ................. _____ Sq. Ft.
 Aluminum  Wood

Steps (Set of 3) with Rail .......... Qty: _____
 Aluminum  Wood

Skirting (Select Only One)
 Brick Ornamental 24" to 36" High Concrete Block 24" to 36" High
 Masonite
 Metal or Vinyl (Vertical)
 Shiplap (Horizontal)
 Simulated Stone

Exterior Doors Deluxe Exterior Door ....... No. of Doors: _____
 Sliding Glass Door ........... No. of Doors: _____
 Storm DoorsWindows
 Storm Windows
 Skylights ................ No. of Skylights: _____Cathedral/Vaulted Ceiling(# of Rooms w/Vault) ...... No. of Rooms: _____
 Dormer ........................... No. of Dormers: _____
 Tiled Entry Way Tongue & Groove OSB Sub-Flooring

INTERIOR FEATURES

Total Electric Home
Built-in Deluxe Buffet/Hutch
Entire Home is Carpeted (Including Kitchen and Bathroom)

Central Air Conditioning SystemSize, Ton(s):  1  1½  2  2½
 3  3½  4  5


Ceiling Paddle Fan ......... No. of Fans: _____
Clothes Washer
Clothes Dryer
Fireplace (Built-In/Permanent)

Kitchen Appliances (18 CF is a Popular Size) 14 CF Refrigerator 15 CF Refrigerator
 17 CF Refrigerator
 18 CF Refrigerator 20 CF Refrigerator 22 CF Refrigerator
 Stainless Steel Sink No. of Sinks: _____ Dishwasher
 Garbage Disposal

Bath Fixtures
 Fiberglass Shower Stall ............ Qty: ____
 Garden Tub (Skirted) ................ Qty: ____
 Fiberglass Tub - Combo ........... Qty: ____© 2023 J.D. Power. All rights reserved.
Call (714) 619-2069 – Research Department (7:30am – 4:30pm PST)
Fax this form to (714) 556-6328