Appraisal Number
Firearm
Appraisal
Valuation Date __________________
PREPARED FOR:
Name __________________________________________________________________________________________
Address ___________________________________________________________________________________________________________________
City, State, Zip ______________________________________________________________________________________________________________
( )
Home Phone __________________________________________Cell ( )
Phone ____________________________________________________________
Email ______________________________________________________________________________________________________________________
PURPOSE OF APPRAISAL:
❒ Insurance ❒ Estate Evaluation ❒ Assess for Auction ❒ Assess Market Value ❒ Bankruptcy
❒ Other____________________________________________________________________________________________________________________
EVALUATION METHOD:
❒ Done in person ❒ Done by other means (describe) __________________________________________________________________________
❒ NRA Condition Standards ❒ Photo Percentage Grading System established by Blue Book of Gun Values (PPGS)
FIREARM FOR APPRAISAL: ❒ Antique ❒ Modern ❒ Cartridge ❒ Black Powder
❒ Pistol ❒ Revolver ❒ Rifle ❒ Shotgun ❒ Other _______________________________________________________
Manufacturer ________________________________________________ Model ______________________________________________________
Action Type__________________________________________________ Serial Number _______________________________________________
Caliber/Gauge _______________________________________________ Cartridge Type _______________________________________________
DESCRIPTION OF FIREARM:
Action/Receiver/Frame: Material/Finish ______________________________________________________________________________________
Barrel/Slide: ❒ Blued ❒ Nickle ❒ Aluminum ❒ Stainless ❒ Parkerized ❒ Other: __________________________________________
Length __________ Unique Markings____________________________________________________________________________________________
Barrel Contour: ❒ Round ❒ Octagon ❒ Octagon to round ❒ Fluted ❒ Other ________________________________________________
Stock/Grip is made of: ❒ Wood ❒ Plastic ❒ Polymer ❒ Fiberglass ❒ Rubber ❒ Ivory ❒ Bone ❒ Metal
❒ Aluminum ❒ Other (describe) ____________________________________________________________________________________________
Type of Sight: ❒ Fixed ❒ Adjustable ❒ Night Sights ❒ Scope ❒ Electronic ❒ Manufacturer/Model ______________________________
Bore Type: ❒ Rifled ❒ Smooth ❒ Choke (describe) _______________________________________________________________________
❒ Overall length of firearm ____________________________________________________________________________________________________
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CONDITION OF FIREARM:
❒ New in box ❒ New out of box ❒ Used: complete ❒ Used: parts missing/damaged
Barrel Action/Receiver Finish (% or grade): ______________________________________________________________________________________
Stock or grip condition (% or grade): ___________________________________________________________________________________________
Bore Condition: ❒ Bright ❒ Frosted ❒ Dark ❒ Rough Pitted
Condition of factory markings: ❒ Crisp/Sharp ❒ Moderate Wear ❒ Excessive Wear
___________________________________________________________________________________________________________________________
Action Function: Normal: ❒ Yes ❒ No (describe) _____________________________________________________________________________
❒ Parts Missing: (describe) ___________________________________________________________________________________________________
❒ Parts Damaged: (describe) _________________________________________________________________________________________________
Overall PPGS or NRA condition: _______________________________________________________________________________________
SPECIAL FEATURES:
❒ Factory custom order ❒ Aftermarket modifications
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❒ Military or other unique markings ____________________________________________________________________________________________
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❒ Original factory accessories _________________________________________________________________________________________________
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❒ Other accessories _________________________________________________________________________________________________________
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❒ Condition of original factory box (if applicable) _________________________________________________________________________________
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Engraving: ❒ Factory ❒ Aftermarket ❒ None
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❒ Provenance/History documented _____________________________________________________________________________________________
________________________________________________________________________________________________________________________
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❒ Documents attached _______________________________________________________________________________________________________
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❒ Photos attached___________________________________________________________________________________________________________
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Additional Notes:
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Photo(s)/
Source of Comparison* Date Condition Type of Sale Actual Location/Region Document(s) Total Value
Sale Attached
❒ Yes ❒ Yes
❒ No ❒ No
❒ Yes ❒ Yes
❒ No ❒ No
❒ Yes ❒ Yes
❒ No ❒ No
* Other sources attached: ❒ Yes ❒ No page 3 of 4
FINAL STATEMENT OF EVALUATION:
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NOTE: This appraisal represents the qualified opinion of the named appraiser.
Appraised Estimated Value:
_________________________________
Report Date ________________________________
PREPARED BY: _________________________________________________________________________________________________
Name/Company ______________________________________________________________________________________________________________
Address ____________________________________________________________________________________________________________________
City, State, Zip _______________________________________________________________________________________________________________
( )
Phone ______________________________________________________________________________________________________________________
Signature ___________________________________________________________________________________________________________________
AGI Certification # ____________________________________
Rev 9/7/12 ©Copyright AGI 2012. All rights reserved. No part of this form may be reproduced for any reason without the written permission of the copyright holder. AGI Certified Appraisers have limited use rights. 1-800-797-0867
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