Project No.:	enter text	Project ID:	enter text
Designation:	enter text	Parcel No.:	enter text
Owner(s):	enter text

Last Approved Valuation
Choose an item.: Dated: choose a date	Revised Valuation

Land in Fee	Land in Fee
enter text	$enter amt	enter text	$ enter amt

Easements	Easements
enter text	$ enter amt	enter text	$ enter amt

Improvements	Improvements
enter text	$ enter amt	enter text	$ enter amt

Fixtures	Fixtures
enter text	$ enter amt	enter text	$ enter amt

Permits	Permits
enter text	$ enter amt	enter text	$ enter amt

Depreciation	Depreciation
enter text	$ enter amt	enter text	$ enter amt

Cost-to-Cure	Cost-to-Cure
enter text	$ enter amt	enter text	$ enter amt
Admin & Oversight Fee	$ enter amt	Admin & Oversight Fee	$ enter amt

Other	Other
enter text	$ enter amt	enter text	$ enter amt

TOTAL COMPENSATION	$ enter amt	TOTAL COMPENSATION	$ enter amt
Rounded	$ enter amt	Rounded	$ enter amt

These revisions are based on plans dated:	choose a date

Reason for Revision:	enter text

RECOMMENDED FOR APPROVAL

ELECTRONIC SIGNATURE CONSENT

By my signature/typewritten name, I declare under penalty of perjury and the laws of the State of Montana that the foregoing is true and correct and contains no willful falsifications or misrepresentations.

Signature (Typed Name)	Date	Place of Signature (City, State)
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Right-of-Way Agent

Consultant Signature (if applicable)	Date

APPROVED FOR AND ON BEHALF OF DEPARTMENT

ELECTRONIC SIGNATURE CONSENT

By my signature/typewritten name, I declare under penalty of perjury and the laws of the State of Montana that the foregoing is true and correct and contains no willful falsifications or misrepresentations.

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R/W Supervisor or Acquisition Manager