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Business Valuation Form
Name:
Email:
Phone:
Address:
Entity Name:
File Date:
Operating Agreement Effective Date:
Entity Number:
Ownership Distribution:
Date of Value Opinion:
Date of Report:
Interest Appraised:
Control/Non-Control:
Controlling
Non-Controlling
Marketable/Non-Marketable:
Marketable
Non-Marketable
Client:
Intended User(s):
Client
IRS
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Multi-State Coverage - We are NOT an AMC
(Not an Appraisal Management Company)
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Valuation Source
Multi-State Coverage
Andrew J. Johnson,
MAI, SRA, ASA, MBA, CVA, CMEA
Andrew@ValSourceUSA.com
833-MY VALUE - Toll Free
888.261.3292 - Fax
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