Valuation Request Form | G.A. Farrell & Associates

I/We hereby request your company to carry out a valuation on my/our behalf under the terms of agreement shown below.

Ref No.

For official purpose only.

Name:*

Date:

Address:*

Telephone:*

Valuation in the Name of:

Access Person:*

Access-Telephone:

Access-Email:

Referred By:

Subject: Property to be Valued:

Characteristics:

Purpose of Valuation:

Lending Institution (if applicable):

Branch & Loan Officer:

Type of Opinion

Market Value
Replacement Cost for Insurance Purposes

Tenure:

Freehold
Leasehold

Further Conditions: The Conditions of Engagement attached hereto are incorporated herein and form part of these terms.

In the event that I am purchasing the property,

Purchase price has been agreed at $

Asking price is $

Free Closing Cost Estimate:

Yes
No

Collecting report in:

P.O.S
Chaguanas
San Fernando
Tobago

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