Date  
 

Name
 

Telephone Number   Home  Office  Cell

Fax Number

Best Time to Reach You

Reason for appraisal: Value in Place  Stand Alone Value Auction Value

Is the equipment in a restaurant? Yes  No

If the equipment is located in a restaurant, please fill in the following:
 

Name of Restaurant   Owner

Address   City   Zip

If the equipment is not located in a restaurant, where is it located?

Address   City   Zip

Who owns it?
 
Are you the individual responsible for the cost of the appraisal? Yes No

If you are not the individual responsible for the cost of the appraisal, who is?

When will the appraisal be needed?