Please
contact Amy Tippetts for questions at Phone: (507) 285-1819
Fax: (507) 285-1851
Borrowers:
Name:________________________________
Address:___________________________________________
City:______________________________________________
Contact Person and
Phone#____________________________
Client Name:________________________________________
Address:__________________________________________________________
City, State:_________________________________________________________
Phone:_____________________
Fax:___________________________________
Email Address:______________________________________________________
(would you like to
receive this report via email YES___ NO___)
Date appraisal needed:________________________
Estimated Market Value:_______________________
Form Type:_________________________________________________________
Special Instructions:___________________________________________________
__________________________________________________________________
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