Va Form 26-6363 - Endorsement To Master Certificate Of Reasonable Value

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1. CASE NUMBER

ENDORSEMENT TO MASTER CERTIFICATE OF REASONABLE VALUE

This endorsement takes preference over and specifically amends an outstanding Master Certificate of Reasonable Value, VA Form 26-1843a having the same identifying

number and referring to the same property or properties. Any condition stated on the outstanding VA Forms 26-1843a, not specifically referred to and modified herein, remains

in full force and effect until expiration of the validity period.

2. NAME AND ADDRESS OF FIRM OR PERSON MAKING REQUEST

3. OUTSTANDING MCRV NUMBER

•

4. TYPE OF CASE

MASTER

5. PROPERTY ADDRESS

(Number and street

or rural route, City or P.O. County, State

and ZIP Code)

7. TOTAL REVISED REASONABLE VALUE

6. REVISED EXPIRATION OF VALIDITY PERIOD