Experimental and Home Built

Certified Appraisal or Market Value Analysis

CONTACT INFORMATION
Name	*Req*
Phone
Fax
Company
Address
City	State Zip
Email
Be sure to include either your Email or Phone number in case we need to clarify the data.

AIRCRAFT INFORMATION
FAA No. Date of Last Annual Year Built Req
Manufacturer *Req* Model Req
Serial No. Engine Type *Req*

AIRFRAME INFORMATION
Airframe total time since new hrs
Airframe Condition *Req*					Paint Condition *Req*
Interior Condition *Req*					Window Condition *Req*
Present Damage *Req*					Repair Cost $
Damage History *Req*
If there have been incidents of aircraft damage please describe the incidents below. (The text box will scroll) Enter: Date, Extent of damage (Extensive, Major, Moderate, Minor), What Happened and the repairs.

ENGINE AND PROP INFORMATION
No. Engs Req		MFG *Req*
Model Req		HP
Time Between Overhaul hrs		Time Since New or Last OH hrs

Engine #1
Serial No		Overhaul or New Date
Type Overhaul

Engine #2
Serial No		Overhaul or New Date
Type Overhaul

Propellers
Props: *Req*
Make Model
Recommended TBO Number of Blades *Req*
Prop #1 Serial No. Date of New or O/H Total time since New or O/H hrs
Prop #2 Serial No. Date of New or O/H Total time since New or O/H hrs

AIRFRAME AND ENGINE MODIFICATIONS
If there have been airframe or engine modifications please describe as completely as possible the modifications, cost and dates.
Modification #1 Date Cost
Description:

Modification #2 Date Cost
Description:

Modification #3 Date Cost
Description:

Modification #4 Date Cost
Description:

Modification #5 Date Cost
Description:

AVIONICS EQUIPMENT
Overall condition of Avionics: *Req*
Aircraft is *Req*

Type of Avionic	Make	Model	Channels

If there is anything else that would affect the value of this aircraft please describe it below together with its original cost.


Estimated Cost:		*Request Type:Req***


Are all Airworthiness Directives complied with ?
If all AD's not complied with what is the estimated cost to comply?

Just Plane Appraisals, LLC
905 Harvest Way Mt Pleasant, SC 29464	758 Springfield Pike Cincinnati, OH 45215
843-388-0809 - Local