Appraisal Form

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					Appraisal Form
We have carefully and thoroughly examined the article(s) listed below belonging to:

Name ______________________________________________________________

Address ____________________________________________________________

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

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