PCA Appraisal Report
A sample of the "Agreed Appraisal" report from proClaimer Appraisal. This, and all report formats used in proClaimer Appraisal are copyright © 1982-2004 by Mik Ro Software, All Rights Reserved.
YOUR COMPANY NAME Our No. 13579-01
YOUR MAILING ADDRESS Assigned: 10/01/2001
YOUR CITY, TX 12345-6789 AGREED APPRAISAL Contacted: 10/02/2001
123/456-7890 Inspected: 10/02/2001
FAX-123/456-7890 Report Date: 10/16/2001
Page No. 1
ATTN : Claims Examiner Insured: Billy Sheffield
Company : Anyone's Fire & Casualty 103 Ave Q
P.O. Box 333159 Apt 7B
Oklahoma City, TX 87531- Fort Worth, OK 76543-
Phone # : 817/972-8463
Claimant: Billy Sheffield
Policy #: AFC-5-A-8712-545 103 Ave Q
Claim # : AFC-545-011002 Location Apt 7B
CAT. # : of Loss: Fort Worth, OK 76543-
Agency : Anyone's Local Agency Type of Loss: Water Damage
Dallas, OK 75315- Date of Loss: 10/01/2001
Policy Coverages: HO-B, 101
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Item of: Building/Dwelling Qty/Unit/Unit Cost Repl. Cost Depr & Type ACV
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General - Water Extraction/Drying
Per ServiceMaster Invoice 1 ea 409.64 409.64 0.00 409.64
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Group Sub-Totals 409.64 0.00R 409.64
Bedroom & Dressing Area L(13.75) x W(16.25) x H(8) + L(6.25) x W(5.25)
Replace Carpet & Pad 31.319 SY 22.95t 718.77 143.75R 575.02
Repaint Walls And/or Ceiling 836.25 SF 0.40t 334.50 66.90R 267.60
Refinish Base Molding 72.5 LF 0.50t 36.25 7.25R 29.00
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Group Sub-Totals 1,089.52 217.90R 871.62
Bathroom L(6.25) x W(6) x H(8)
Replace Carpet & Pad 4.583 SY 22.95t 105.18 21.04R 84.14
Repaint Walls And/or Ceiling 233.5 SF 0.40t 93.40 18.68R 74.72
Refinish Base Molding 24.5 LF 0.50t 12.25 2.45R 9.80
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Group Sub-Totals 210.83 42.17R 168.66
Closet L(6.25) x W(5) x H(8)
Replace Carpet & Pad 3.819 SY 22.95t 87.65 17.53R 70.12
Repaint Walls And/or Ceiling 211.25 SF 0.40t 84.50 16.90R 67.60
Refinish Base Molding 22.5 LF 0.50t 11.25 2.25R 9.00
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Group Sub-Totals 183.40 36.68R 146.72
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Sub-Totals 1,893.39 296.75R 1,596.64
Sales Tax @ 8.250% 122.41 24.48R 97.93
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Totals 2,015.80 321.23R 1,694.57
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End of Report ...