haitianart.com
Home		 The Haitian Art Collection  
Appraisal Request Form

Payment Information

 The charge for this service is $50.00 U.S.
Full Name:
Address:
City:
State:
Postal Code:
Home Phone:
Work Phone:
Fax:
E-mail:
  
Payment Method:
Credit Card Number:
Expiration Date:

Artwork Information

Artist:
Name of the work:
Size of the work (eg. 24" x 30"):
Year of artwork:
How did you acquire the artwork?
Was the artwork purchased in Haiti? Yes No Don't Know
Was the artwork purchased directly from the artist? Yes No Don't Know
Do you have the original receipt or documentation? Yes No
Was the work commissioned by you? Yes No
Has the work been exhibited in any public showing? Yes No Don't Know
Has a copy of the image been published? Yes No Don't Know
If so, where?

Condition of Artwork

Overall condition of the artwork:
Is there any yellowing caused by prolonged exposure to cigarette smoke? Yes No
Is there any fading as a result of exposure to direct sunlight? Yes No
Does the paint appear to be chipping or cracking? Yes No
Has the work ever been rolled for storage or shipping? Yes No Don't Know
Are there any tears, fraying edges or holes in the work? Yes No
If your work is a painting, what is it painted on?
Is the painting framed? Yes No
If so, is it an original hand carved frame? Yes No Don't Know
If the work is varnished, is the varnish yellowing or streaking? Yes No Not Varnished
Does the work show any signs of restoration? Yes No Can't Tell
If the work has been restored, if possible, hold the piece under a black light to determine extent of restoration. Please describe here.


If artwork is made of wood, are there any cracks or termite damage?

Yes No N/A
If artwork is made of wood, is the color/stain uniform or faded? Uniform Faded N/A
If artwork is made of metal, has the piece been kept outdoors? Yes No N/A
If artwork is made of metal, is there any pealing of paint or rust? Yes No N/A


Sometimes the history or unique stories about a specific piece of art can influence its value. Please let us know anything that might help us determine its value:


Please describe anything unusual about the artwork:


Please include anything else we should know about the artwork:


Please print this form and mail it, ALONG WITH A 4" x 6" GLOSSY COLOR PHOTO to the address below.

    
Mail completed form to:

The Haitian Art Collection
16 S.E. 5th Avenue
Delray Beach, Florida 33483 USA
Copyright © 1995-2002 Haitian Art Collection. All rights reserved.
Main Gallery: 16 S.E. 5th Avenue, Delray Beach, Florida 33483 USA
Phone: 561-274-4446    Fax: 561-274-4575
Email: director@haitianart.com    Website: http://www.haitianart.com/

| Privacy Notice | Terms & Conditions |