Appraisal Request Form
Please complete as much of the following information as possible to request a Market Analysis for a Factory built aircraft. The more accurate and complete the data are the more accurate the Market Analysis will be. We strongly recommend that you print this form and use it to record information if you visit the aircraft.
* is a Required Field. Printer Friendly  
 Contact Information
Name *
 Company Name *
Address *
City *
 State *
 Zip Code *
Telephone *
 FAX
E-mail *
 Aircraft Information
FAA Number
 Date of Last Annual
 Year Built 
Manufacturer 
 Model 
Serial Number
 Engine Type 
 Airframe Information
Airframe Total Time Since New
 hrs
Airframe Condition 
   Paint Condition 
   Date of Last Paint
Window Condition 
   Interior Condition 
   Date of Last Interior
Present Damage 
       Repair Cost
 
Damage History 
If there have been incidents of aircraft damage please describe the incidents below. Enter: Date, Extent of damage (Extensive, Major, Moderate, Minor), What Happened and the repairs.
                                     
 Engine and Prop Information
Number of Engines 
 Engine Manufacturer 
 Engine Model 
HP
 Time Between Overhaul
 hrs		 Time Since New or Last Overhaul
 hrs
Engine #1
Serial Number
 Overhaul or New Date
 Type of Overhaul
Name of O/H Shop
Time Since New or Last Overhaul
hrs		  
Engine #2
Serial Number
 Overhaul or New Date
 Type of Overhaul
Name of O/H Shop
      		 Time Since New or Last Overhaul
hrs		  
Propellers
Propeller Type 
 Make
 Model
Recommended TBO
 Number of Blades 
Prop #1
Serial Number
 Date of New or Overhaul
 Total Time Since New or Overhaul
 hrs
Prop #2
Serial Number
 Date of New or Overhaul
 Total Time Since New or Overhaul
 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 
 Aircraft is 
Type of Avionic Make Model Channels
 Additional Equipment
True Air Speed
 Yaw Damper
 De-Ice Boots
 Prop De-Ice
Rotating Beacon
 Strobe Lights
 Cockpit Voice Recorder
 Flight Recorder
Stall Warning
 Air Conditioning
 Long Range Fuel
Aux Fuel Quanity
Other Equipment
If there is anything else that would affect the value of this aircraft please describe it below together with its original cost.
    Estimated Value
 
Are all Airworthiness Directives complied with?  
If all AD's not complied with what is the estimated cost to comply?