Texas Real Estate Contract

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					     2005 Cost Report               APPRAISAL METHODOLOGY                                             9-Digit Contract #
   Texas Nursing Facility                CERTIFICATION

NOTE: This certification page is to be completed only by providers who are required to obtain an independent
appraisal of their facility's land and improvements.


                       AS PREPARER OF THE ATTACHED PROPERTY APPRAISAL AND SIGNER
                       OF THIS APPRAISAL METHODOLOGY PAGE, I HEREBY CERTIFY THAT:

    l      I am certified as a "General" Real Estate Appraiser under the authority of the Texas Appraiser Licensing and
           Certification Board.

    l      I have read and complied with 1 TAC Section 355.306(g)(2)(B) and all rules and instructions applicable
           to this cost report, which define allowable appraised property values.

    l      I have prepared the attached property appraisal summary in accordance with criteria used by the local taxing
           authority under the Texas Property Tax Code, Section 23.01, regarding appraisal methods and procedures.




 NOTE: This APPRAISAL METHODOLOGY CERTIFICATION must be signed by the Certified General Real Estate Appraiser
           who prepared the attached property appraisal. Misrepresentation or falsification of any information contained in the
           appraisal may be punishable by fine and/or imprisonment.


PREPARER IDENTIFICATION
Name of Contracted Provider



Printed/Typed Name of Preparer                                                       Title of Appraiser




                      SIGNATURE OF APPRAISER                                              DATE




           Subscribed and sworn before me, ________________________________________, a Notary Public,
           on the ______________day of ___________________________________________, ________.


                                                                                   NOTARY SIGNATURE


                    NOTARY SEAL
                                                                                  COMMISSION EXPIRES



                                                                                NOTARY PUBLIC, STATE OF

				
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Description: Texas Real Estate Contract document sample