Appraisement. Appraisement of all and singular goods, chattels and other personal property of _________, produced before us, the undersigned appraisers this _________ day of _________, _________[date], [insert designation of the particular pieces of property and the amounts each are valued at]. Total appraisement, _________ dollars. We, the undersigned appraisers, certify the above to be a full and fair appraisement of the personal estate of _________ as produced before us by _________. Given under our hands this _________ day of _________, _________[date].