Harley H. Hoppe & Associates. Inc.

	Harley H. Hoppe & Associates, Inc.

	2731 77th Avenue SE, #100 Mercer Island WA 98040
	206.275.1100 - FAX: 275.1122
	E-Mail - Harley Hoppe & Associates

- Specializing in Saving You Money

Allow this form to request the services of Harley Hoppe & Associates to complete an analysis on my property valuation(s).

Customer Information

Name:		Address:
Phone (numbers only):		City; State; Zip:
Fax: Email:

Property Information:
Commercial Residential Personal Property
Street:

City:

Tax account #:

Assessed Value:
Please enter numbers only, no characters ie, commas, dollar signs, etc.

Land: Imp: Total:

Problems to note:

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