REA 3004 (Revised 09/01/2014) page 1 of 3
Category of
Experience
Property Address(Include full address)
Typeof
Property
ComplexAssignment
Y/N(AR applicant
only)
Description of Work Performed by Applicant
Scope of Supervising Appraiser’s Review
Scope of Supervising Appraiser’s Supervision(Level of supervision)
Date of
ReportIntended User
Numberof
Hours
LOG OF APPRAISAL EXPERIENCERead All Directions on Page 3 of This Form Prior to Completing
Supervising Appraiser ________________________________________ Date ______________ Total Hours this PageHours from Previous PageTotal HoursPage of
EXAMPLE