REALTY VALUATION
FOR BANKRUPTCY PURPOSES

Name: 		Record No. 	

Address:   	

City: 	

State: 	

Zip: 	

Mortgage #1 Balance:	………………………………………………..	$ 		
Mortgage #2 Balance:	………………………………………………..	$ 		
Other Liens Balances:	………………………………………………..	$ 		
Past Due Real Estate Taxes:	………………………………………………..	$ 		

TO BE COMPLETED BY APPRAISER OR BROKER (must attach letter or comparables):

I am a licensed real estate broker, salesperson or appraiser. My opinion is that the above property, IN ITS PRESENT CONDITION, would sell for	$ 	
Comparable recent sales are:

Address	Date Sold	Sale Price	
1.	 		 	/ 		$_ 		
2.	 		 	/ 		$_ 		
3.	 		 	/ 		$_ 		

Comments: 	

Dated: 	_	By: 	

Agency Address: 	

Phone: ( 	)	 Return to: (check one)
PETER FRANCIS GERACI, JD	PETER FRANCIS GERACI, JD
55 E. Monroe Street, #3400	4745 Statesmen Drive, Suite 1A
Chicago, IL 60603	Indianapolis, IN 46250
Ph: (312) 332-1800 Fax: (312) 332-1566	Ph: (317) 842-1800 Fax: (317) 842-7400

PETER FRANCIS GERACI, JD	PETER FRANCIS GERACI, JD
7725 S. Broadway, Suite J	10617 W. Oklahoma, Suite L4
Merrillville, IN 46410	West Allis, WI 53227
Ph: (219) 736-8500 Fax: (219) 736-8700	Ph: (414) 321-5700 Fax: (414) 321-1758