APPRAISAL FORMAT: Click to enter format.

(Complete this section if this report is to be used in conjunction with a current project):

Current Project No.:	enter text	Current Project ID:	enter text
Current Designation:	enter text	Current Parcel No.:	enter text

(Complete this section if the property being appraised was acquired on a previous MDT project):

Original Project No.:	enter text	Original Project ID:	enter text
Original Designation:	enter text	Original Parcel No.:	enter text

Name of Appraiser	Date of Appraisal	Revision Date(s)
enter text	choose date	choose date

ESTIMATE OF MARKET VALUE

MARKET VALUE OF APPRAISED PROPERTY:

Land:
enter text	$enter amt
enter text	$enter amt

Improvements (Inclusive of site improvements):
enter text	$enter amt
enter text	$enter amt

Fixtures and Personal Property (considered realty):
enter text	$enter amt
enter text	$enter amt

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

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

Market Value as of enter date. (effective date)	$enter amt
MARKET VALUE ROUNDED	$enter amt

Personal Property not considered realty:	YES ☐	NO ☐

If YES, please describe: enter text

REMARKS:	enter text

I CERTIFY THAT...

The statements of fact contained in this report are true and correct.
This review has been made in conformity with State laws, the Uniform Appraisal Standards for Federal Land Acquisitions and Chapter 3 (Appraisal) of the MDT R/W Manual, as they apply to the review assignment.
I have personally inspected the subject property. If not, explain above in remarks.
I have personally inspected the comparable sales applicable to this appraisal. If not, explain above.
I have no direct or indirect present or contemplated future personal interest in the subject property or in any benefit from the acquisition of such property beyond my responsibility as Review Appraiser for the Montana Department of Transportation.
Neither my employment nor compensation is contingent on an action, event or value resulting from the analyses, opinions, or conclusions in, or the use of, this review report.
My conclusions have been reached independently based on appraisals and other factual data of record without collaboration or direction, except as outlined within the remarks.

REVIEWED & APPROVED FOR COMPENSATION

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)
Choose a date

If licensed, level of certification & license #:	enter text

No Remarks:☐	Remarks attached: ☐