LPS - 43 (2/14) Page 2 of 3
Claim Number Claimant Parcel Number Review Date
FEDERAL PROJECT NO.PROJECT NAME/ROUTE
COUNTY /
MUNICIPALITY
PARCEL NO.
CLAIM NO.
OWNER(S)
VALUATIONS
Appraiser:FMV Date:
AcceptedNot Accepted RecommendedDOV / Appraiser:
FMV Date:
AcceptedNot Accepted RecommendedDOV / Appraiser:
FMV Date:
AcceptedNot Accepted RecommendedDOV / Appraiser:
FMV Date:
AcceptedNot Accepted RecommendedDOV
LAND
IMPROVEMENTS
OTHER
BEFORE VALUE
LANDIMPROVEMENTS
OTHER
AFTER VALUE
LANDIMPROVEMENTS
OTHER
DAMAGES
REMARKS:
This appraisal review is authorized by the federal Uniform Act, Pub. 740, The Local Project Delivery Manual, and PennDOT Pub. 378, The Right of Way Manual, and is only intended for acquisition of right-of-way or other related purposes. This appraisal review conforms to the Pennsylvania Real Estate Appraisers Certification Act and applicable regulations including 49 Pa. Code §36.51.
LPS - 43 (2/14) Page 2 of 3
Claim Number Claimant Parcel Number Review Date
STATEMENT AND CERTIFICATION OF REVIEW APPRAISER
This certifies that, to the best of my knowledge and belief:
1. The statements of fact contained in this report are true and correct.
2. The reported analyses, opinions and conclusions are limited only by the reported assumptions and limiting conditions and are my personal, impartial and unbiased professional analyses, opinions and conclusions.
3. On , 20, I the opinions and conclusions in the work under review. The fair market value of the owner’s entire property interest immediately before the acquisition and as unaffected thereby is estimated to be $, and that the fair market value of the owner’s property interest remaining immediately after such acquisition and as affected thereby is estimated to be $, and therefore damages are $, as of the day of , 20, which is the Effective Date of Valuation of the recommended appraisal report.
4. This estimate is based upon a thorough review and analysis of all available information, including a personal visual inspection of the parcel to be acquired and the comparable sales. A technical review was performed in accordance with USPAP Standard 3. This estimate is based on:
i. the Appraisal Report by the Review Appraiser’s Determination of Value
This estimate is to be used in connection with a:
ii. Federal-Aid Highway Project 100% State Funded Project
5. The intended user/client of this review report is the Local Project Sponsor and the Pennsylvania Department of Transportation whose intended use is to acquire real property and/or personal property for the above noted public project. The purpose of this report is to develop and report a credible opinion as to the quality of the work of the appraiser indicated and to form an opinion and conclusion of the fair market value of the owner's described property interest immediately before the acquisition and as unaffected thereby and the fair market value of the owner's described property interest remaining immediately after such acquisition and as affected thereby, the difference being total damages.
6. The analyses, opinions and conclusions in this review report are limited only by the assumptions and limiting conditions stated in this review report are my personal, impartial and unbiased professional analyses, opinions and conclusions
7. I have no present or prospective interest in the property that is the subject of the work under review and no personal interest with respect to the parties involved.
8. I have no bias with respect to the property that is the subject of the work under review or to the parties involved with this assignment.
9. My engagement in this assignment was not contingent upon developing or reporting predetermined results.
10. My compensation is not contingent on an action or event resulting from the analyses, opinions or conclusions in this review or from its use.
11. My compensation for completing this assignment is not contingent upon the development or reporting of predetermined assignment results or assignment results that favors the cause of the client, the attainment of a stipulated result, or the occurrence of a subsequent event directly related to the intended use of this appraisal review.
12. My analyses, opinions and conclusions were developed and this review report was prepared in conformity with the federal Uniform Act, Pub. 740, The Local Project Delivery Manual, PennDOT Pub. 378 the Right of Way Manual, the Pennsylvania Real Estate Appraisers Certification Act and applicable regulations including 49 Pa. Code §36.51. Compliance with USPAP.
13. I did personally inspect the subject property of the work under review.
14. I have have not appraised or provided a previous service regarding the subject property within the three years prior to this assignment.
15. No one provided significant appraisal review assistance to the Review Appraiser signing this certification, unless stated below.
16. In the opinion of the undersigned Review Appraiser, the accepted and recommended report is adequately and properly developed, using appropriate methods and techniques.
______/ ______Date of Signature / Signature of Review Appraiser
Type/Print Name (Designation)
Pennsylvania State Certified General Appraiser
Certification No.
BREAKDOWN BY REVIEW APPRAISER
FEDERAL PROJECT NO. / Review Date:Before Value $
After Value $
Total Damages $
PROJECT NAME/ROUTE
COUNTY
MUNICIPALITY
PARCEL NO.
CLAIM NO.
OWNER(S)
BREAKDOWN OF TOTAL DAMAGES
DIRECT DAMAGES:
Required R/W – Land $
Required R/W – Improvements $
Required $
Required $
Special Benefits, if any ($)
DIRECT DAMAGE AMOUNT $ $ ,
TEMPORARY CONSTRUCTION EASEMENT(s) $ $
INDIRECT (SEVERANCE) DAMAGES:
Indirect Damages $ $
Cost of Adjustment, if any $ $ ,
TOTAL DAMAGES $ ,
REMARKS: