(1)	CURRENT PROJECT INFORMATION:
Project No..	[Project No.]	Project ID:	enter text
Designation:	[Designation]	Parcel No.:	[Parcel No.]

IF property being appraised is MDT property, list project information from when MDT acquired the property
Project No..	enter text	Project ID:	enter text
Designation:	enter text	Parcel No.:	enter text

(2)	RECORD OWNER:	enter text
ADDRESS:	enter text
CITY, STATE, ZIP	enter text
PHONE NO.	enter text

CONTRACT PURCHASER:	enter text
ADDRESS:	enter text
CITY, STATE, ZIP	enter text
PHONE NO.	enter text

LESSEE OF ACQUISITION:	enter text
ADDRESS:	enter text
CITY, STATE, ZIP	enter text
PHONE NO.	enter text

(3)	ADDRESS AND/OR LOCATION OF THE PROPERTY:	enter text

(4)	BRIEF LEGAL DESCRIPTION OF THE PROPERTY:	enter text

Date Taken:	choose a date	Taken By:	enter text
Taken From:	enter text	Facing:	enter text
Remarks:	enter text

(5)	5 YEAR DELINEATION OF TITLE:
To:	enter text
From:	enter text
Date:	choose a date	Recording Info:	enter text
Consideration (last transfer):	$ enter text

(6)	PURPOSE: The appraisal is to estimate the Current Fair Market Value, as defined in MCA 70-30-313, and further clarified in Chapter 3 of MDT’s Operational Manual for the property identified above.

Intended Use(s): The use of the appraisal is for Choose an item. Briefly describe the project: enter text

Intended User(s): Intended users are MDT employees and contract acquisition agents. Third parties who may read the appraisal are not intended users.

Use of the appraisal and report for any other purpose, any other use, and / or any unintended users, could be misleading.

(7)	PROPERTY RIGHTS BEING APPRAISED:
Fee Simple ☐	Easement ☐	Permit ☐	Other: enter text

(8)	MARKET VALUE is to be established in terms of cash or based on terms of financial arrangements equivalent to cash for the rights being appraised. MCA 70-30-313. Current fair market value: Current fair market value is the price that would be agreed to by a willing and informed seller and buyer, taking into consideration, but not limited to, the following factors: the highest and best reasonably available use and its value for such use, provided current use may not be presumed to be the highest and best use, the machinery, equipment, and fixtures forming part of the real estate taken; and any other relevant factors as to which evidence is offered.

(9)	SCOPE OF THE APPRAISAL: Summarize the process of collecting, confirming, and reporting data contained in this report. The scope of the appraisal must be consistent with the intended use and intended user(s).:
enter text

(10)	ASSUMPTIONS & LIMITING CONDITIONS: List only those assumptions and limiting conditions applicable to this parcel: The information contained within this report may not be applicable to the same property under different conditions nor to other properties with similar conditions. Applying information in this appraisal to another property requires careful consideration of all value influencing factors for each of the properties concerned.
It is expressly understood and emphasized that this appraiser has no present or contemplated future interest in any of the properties appraised. Legal descriptions of the subject project property, the construction plans, and right of way maps are correct as furnished by the Department of Transportation. No responsibility is assumed for matters which are legal in nature nor is any opinion rendered on the title of the land. The value reported is based on the premise that the property is free and clear from all encumbrances except as outlined within the report. The information contained within the report(s) was gathered from reliable sources but is in no sense guaranteed. Gas, oil, and/or mineral rights, if any, may not be appraised, as outlined within the report. The sketches, maps and aerial photos used in the report (if any) are intended as visual aids only and are not warranted to be accurate or to scale. In the event the subject property goes into condemnation proceedings, it is assumed that the appraiser will be given additional time for court preparations. The fractional use of any portion of this report without proper consideration being given to the entire report is prohibited. Valuations and depreciation items are based on the premise of one buyer before acquisition and one buyer after acquisition. Neither all nor any part of the contents of this report shall be conveyed to the public through advertising, public relations, news, sales or other media without the written consent and approval of the appraiser, particularly as to valuation conclusions, prior to entry of the appraisal report into the public domain. Disclosure of information contained within the report is limited to: The Montana Department of Transportation (MDT) or persons specifically authorized by MDT; such third parties as may be authorized by due process of law; and a duly authorized professional peer review committee. It is understood that the appraiser is not an expert in the identification of hazardous substances, contamination, or detrimental environmental conditions. The inspections of, and any inquiries pertaining to, the subject property did not develop any information that indicated that these factors were present; therefore, the value estimate in this report is predicated on the assumption that the property is not negatively affected by any hazardous substances or detrimental conditions, unless specifically stated elsewhere in this report.

(11)	SUMMARY DESCRIPTION OF NEIGHBORHOOD: Summary description of the neighborhood considered for collection of sales data. For atypical properties the neighborhood may need to be expanded to include other similar areas. It may be relevant to describe the immediate neighborhood as well as describing the larger market area from which sales were gathered:
enter text

Surrounding area is:	☐ Depressed	☐ Declining	☐ Static	☐ Growing
☐ Other (explain):	enter text
Unusual features affecting property values:	enter text
Subject property conforms with general area:	☐ Yes	☐ No
If no, explain: enter text
Surrounding area is:	☐ Vacant	☐ Partially Developed	☐ Developed	☐ In transition
Zoning in the area and/or typical size and use of tracts in the area:	enter text

(12)	SUMMARY DESCRIPTION OF SUBJECT PROPERTY:
enter text

Total area contiguous ownership (Larger parcel may be different from area shown on plans):	enter text
Shape:	enter text
Dimensions:	enter text
☐ Corner	☐ Interior Site	☐ Alley Access
Access:	enter text
Traffic Count:	enter text
Property’s present location in respect to grade:	enter text
Topography:	enter text
Drainage:	enter text
Water availability:	enter text
Present Use:	☐ Residential	☐ Commercial	☐ Industrial
☐ Suburban	☐ Farm/Ranch	☐ Special
☐ Other	Explain:	enter text
Zoning:	enter text
Utilities:	☐ Phone
☐ Power
☐ Sewerage	If septic, note location:	enter text
☐ Water	If private well, note location:	enter text
Brief description of improvements:	enter text
Personal Property not considered realty:	☐ Yes ☐ No
If yes, explain: enter text

(13)	HIGHEST & BEST USE: Summary analysis and conclusion based on the use being reasonably probable, legally permissible, and physically possible. Of those uses, state which is financially feasible and maximally profitable, creating the greatest return to the land. The Highest and Best Use conclusion for the appraised property should be the same as the highest and best use of the properties used for comparison.
enter text

(14)	LAND VALUATION:
enter text

(15)	VALUE BASED ON COST APPROACH: If the property is improved include:
A. Estimated total accrued depreciation as gathered from the marketplace: enter text or, if no market data is available in the same general location or similar locations, B. Provide estimated depreciation from observation of physical deterioration, functional obsolescence, and external influences: enter text C. Total value of depreciated improvements added to Land Value: enter text

(16)	VALUE BASED ON SALES COMPARISON APPROACH:
enter text

(17)	VALUE BASED ON INCOME APPROACH:
enter text

(18)	RECONCILIATION & CONCLUSION TO VALUE:
enter text

(19)	RECAPITULATION (Based on reconciled value(s).):
Value of subject property:
Land
enter text	$ enter text
Improvements (inclusive of site improvements)
enter text	$ enter text
Fixtures (considered realty)
enter text	$ enter text

Value as of choose a date. (effective date)	$ enter text
VALUE, Rounded	$ enter text

(20)	LESSEES INTEREST: enter text
LESSORS INTEREST: enter text

(21)	I CERTIFY THAT…:
...the statements of fact contained in this report are true and correct.
...the appraisal has been made in conformity with state laws, the Uniform Standards of Federal Land Acquisition, and Chapter 3 (Appraisal) of the MDT R/W Manual as they apply to the appraisal assignment.
...I have personally inspected the subject property and I have afforded the owner, or the owner’s representative, the opportunity to accompany me on the inspection. (If not explain.)
...I have personally inspected and verified the comparable sales relied upon in making this appraisal. (If not explain.)
...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 an appraiser for the Montana Department of Transportation.
...neither my employment nor compensation are contingent on an action, event or value resulting from the analyses, opinions, or conclusions in, or the use of, this appraisal report.
...the reported analyses, opinions, and conclusions are limited only by the reported assumptions and limiting conditions contained within this report.
...the value conclusion is based on my personal, unbiased professional analyses, opinions, and conclusions derived from the data collected for this appraisal.
...my determination has been reached independently based on analysis of data without collaboration or direction, except as outlined within this report.

DATE: choose a date (date of report)

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

Consultant Signature (if applicable)	Date

If certified, Lic. # and level of certification:	enter text

(22)	REQUIRED ATTACHMENTS: Attachments should be consistent with the information included in the body of the report. The order of the attachments should coincide with the format of the written report.

(23)	ADDITIONAL INFORMATION FOR THE READER/USER:
enter text