CHURTON & ASSOCIATES
A Real Estate Appraisal Company

Serving Northern California

Request for an Appraisal (FAX FORM  415-731-1421)

1101 Vicente Street, San Francisco, CA 94116,  Voice:  415-731-7757 FAX: 415-731-1421
503 Piezzi Rd, Santa Rosa, CA 95401,  Voice:  415-731-7757 FAX: 415-731-1421

Cover Sheet Not Required
DATE:                                                       TIME:
Client/Company:
 
 
Contact:
Phone:  Area Code First (         )           
E-Mail Address:
Property to be Appraised
Address:
 
 
Owner(s):
Phone #'s   Home:  
Office:
Borrower / Client:
Phone #'s   Home:  
Office:
CLASS:    (___) Single Family          (___) Multi           (___) Condo
Comments:
 
 
Real Estate Broker:
Phone #'s   Home:   Office:
Selling Price:  $
Special Instructions:
 
 
  (___) C.O.D.           (___) BILL  FEE: $
 
 Assigned To: Date Received:      Time:
 Due Date:
 

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