We have carefully and thoroughly examined the article(s) listed below belonging to:
This estimation is based on the current retail value and is not intended to include any
applicable state or federal tax. In the event of any damage to the item(s) described
below, the Appraiser is not responsible for the cost of the replacement of said item(s).
Item Description Appraised
The Appraiser assumes no liability for any action taken based on this appraisal.
Appraiser Signature Date