Leech Appraisals

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Please complete the following form to order an appraisal of a property:

Your Information
Your Name:	Financial Institution:
Phone:	E-mail Address:
Property Type:

Client's Information
Clients Name(s):
Clients Daytime Phone: Clients Nighttime Phone: Clients Cell:	Address: Address 2: Postal Code:
Would you like a PDF copy of the appraisal e-mailed to you? Yes No
Notes/Comments:

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