Report Release Request

Lender (Client) instructions: please complete the fields below. Once submitted, an email will be sent to the Third Party requesting her/his written agreement to our report release terms. You will receive a copy of this email - no action is required by you at this point. Upon receipt of email affirmation of these terms from the Third Party, you are authorized to provide the Third Party with a copy of the Business Valuation report.

Request Initiated By * (Lender Name)

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Lender Email *

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Bank Name *

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Name of Company that Reliant Business Valuation Appraised * (As It Appears on the Business Valuation Report)

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Third Party Name *

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Third Party Email *

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Third Party Relationship * Select Third Party Relationship Buyer Seller Broker Other

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Other *

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