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VALUATION REQUEST FORM
Ref #
Date:
First Name:
Surname:
Home Phone:
Work Phone:
Other Phone:
Address Of Property To Be Valued:
Type Of Property:
House/Condominium/Townhouse/Apartment #:
Land Only:
Building Plans:
QS/Builders Estimate:
Commercial/Industrial (# of buildings):
Valuation n/o:
Access Name:
Access Contact - Home:
Access Contact - Work:
Access Contact - Other:
Purpose Of Valuation:
Mortgage
Insurance
Stamp Duty
Sale
Asset
Foreclosure
Other:
If Mortgage,Which Company?
Officers Name:
Buying/Selling Price: Price/Refinance: