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KENNEDY & ASSOCIATES
REAL ESTATE SERVICES
APPRAISALS
CONSULTING
MARKET STUDY

   Quotation Request Form
Please fill out the following form completely and we will be in contact with you.

Items In Red must be filled in.

Your Name
Email Address
Company Name
Street Address
City
State
Zip
Telephone -

Items In Red must be filled in.

PROPERTY INFORMATION

Street Address Owner's name
City Borrower's Name
County    
Zip Estimated Value
Subdivision    
Assesor's Parcel Number Loan Amount

PURPOSE OF VALUATION

 Purchase
First Mortgage
Refinance
Second Mortgage
   
Relocation
Legal (Describe)
Other (Describe)

SPECIAL INSTRUCTIONS
CONTACT ME  

KENNEDY & ASSOCIATES
1413 Sachem Place, Suite #2
 Charlottesville, Virginia 22901
Office: 434/977-2805 Fax: 434/977-8146