APPRISAL

We hereby certify that we have this day carefully examined the following listed and described Articles, the property of:

Full Name

Address

Description

Value

Your signature

Date

Submit

We estimate the value as listed for insurance or other purposes at the current retail value,

excluding Federal and other taxes. In making this appraisal we DO NOT agree to purchase

Or replace the articles.

The foregoing Appraisal is made with the understanding that the Appraiser assumes no

liability with respect to any action that may be taken on the basis of this Appraisal.