Loeb Equipment & Appraisal Company

APPRAISAL REQUEST FORM
This form is intended to provide us with the basic information needed to estimate the time and resources in order to prepare a quote for the services you will be requiring. Please provide the following information, which will be maintained strictly confidential, and will be immediately sent to our appraisal departments attention. You will have a response from us within approximately 48 hours (excluding weekends). Please note we do not provide appraisal services for single machines. We only appraise complete facilities, Companies or processes. Take a moment and fill in as much as possible as we are ready to assist you.

If you have your customer # available from our recent catalog, quote or correspondence and your mailing information is correct, please enter your customer #, e-mail and a phone number below to save you some time.

Customer #
Telephone
E-mail
or
If you don't have your customer number available or if you are a new customer, please fill in all the fields below. You will then be assigned a customer # with your official quote from the sales staff which you can use for quicker requests in the future.
Company Name
Type Of Business
Contact Info	Name
Address
City
State
Zip
Foreign State
Country
Telephone
Fax
E-mail
If you regularly work with an Loeb Equipment salesperson, please fill in their name in the box. If not, please leave this field blank.

Describe the type of business the plant (s) you wished appraised are involved in

Please provide the city, state and country the assets are located in.
(If more then three locations just type in "multiple" in the first city location).

City ST COUNTRY

Location (1)

Location (2)

Location (3)

What is the approximate square footage of the building (s) and how much is approximately production.

Location (1) Total: sq. ft. Production area: sq. ft.

Location (2) Total: sq. ft. Production area: sq. ft.

Location (3) Total: sq. ft. Production area: sq. ft.

Purpose / Intended use of Appraisal

Scope of Appraisal

Definition of Value to be used
Public Auction / Forced Liquidation
Orderly Liquidation
Fair Market Value for Removal
Fair Market Value in Place

What is the date that this report is needed by? (mo/day/year)

Please include any special considerations, comments, or concerns in the text box below: