Request A Valuation

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Client Name*

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Contact Person of Client

Subject*

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First Name*

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Last Name*

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Address*

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City

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Postal /Zip Code

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Phone*

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Email*

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State/Province/Region

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Country

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Fax Number

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Purpose of Valuation (ie Taxation, Accounting, Insurance, Sale or Acquisition,etc)

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Address(es) of site(s) at which valuations to be carried out. Please enter each address on newline

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Industry in which client operates

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Valuation to include building yes/no, if yes how many, construction style and approximate size

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Estimated Number of assets and/or Number of assets on register: (state whether estimated or taken from asset register)

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Valuation Required By date

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Any other comments

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Rod Hyman Expert Valuer