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2. Please complete all fields below to submit information regarding the property for which you have requested a valuation review.
4. Property Identification Number:*
   (13 digit number - e.g. 1014205001000)
6. Property Street Address:*
7. City:*
9. Name of Person Submitting Form:
10. Interest:

    1. I am the Owner of this property
    2. I am authorized to submit information on behalf of the owner
12. Email Address:*
13. Phone Number:*
15. If the appraiser has further questions, I prefer to be contacted by:*

    1. Telephone
    2. Email
    3. Please do not contact me
17. Please describe the reasons for your review request:
19. Attach any additional information:
21. What is your estimate of the market value of the property?
Leave This Blank:


22. Submit

* indicates a required field