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APPRAISALS

Appraisal Request Form
Requestor:      
Bank:         
Transit#:     
Branch Addr:  
City:         
Postal Code:      Province: 

Contact Numbers:

Branch#:      
Direct/Ext#:  
Cell#:        
FAX#:         
Email:        

Appraiser Requested:
Service Type:

Urgent?   YES!   No

 Full Standard
 Drive-by
 Refinance Standard
 Construction
 Inspection
 Resale
 Legal Review
 Other
Notes:

Client Info:
Client Name:  
Prop Address: 
Contact Name: 
(if different from above)
Phone Numbers:
Contact#:     
Work#:        
Cell#:        
Other#:       
Purpose of Appraisal:

Owner Value:

Additional Comments:



484 Main Street, PO Box 446,
Winchester, ON, K0C 2K0
Facsimile: (613) 774-6196