Experimental built Evaluation Form

Please complete as much of the following information as possible to request a Market Analysis for Experimental built Aircraft. Although there are only a few required fields, be sure to provide as much infomation as possible. The more accurate and complete the data are the more accurate the Market Analysis will be. For Help with the grading see our grading instructions. We Strongly recommend that you print this form and use it to record informationif you visit the aircraft.

CONTACT INFORMATION

Name Req

   Phone

Company

   Fax 
Address  
City    State     Zip
Email   
Be sure to include either your Email or Phone number so that we can contact you in case we need to clarify the data.
   

AIRCRAFT INFORMATION

FAA No.    Date of Last Annual     Year Built Req
Manufacturer   Req     
Model  Req
Serial No.       Engine Type  Req
     

AIRFRAME INFORMATION

Airframe total time since new hrs  
Airframe Condition   Req Paint Condition  Req
Interior Condition  Req Window Condition  Req
Present Damage   Req Repair Cost $
Damage History Req

If there have been incidents of aircraft damage please describe the incidents below.  (The text box will scroll)  Enter:  Date ,  Extent of damage (Extensive, Major, Moderate, Minor),  What Happened and the repairs. 
                   

ENGINE AND PROP INFORMATION

No. Engs Req MFG Req
Model Req HP 
Time Between Overhaul hrs  Time Since New or Last OH  hrs
     
Engine #1  
Serial No     Overhaul or New Date
Type Overhaul  
     
Engine #2  
Serial No Overhaul or New Date
Type Overhaul     
   
 
 
Propellers
Props:   Req
Make      
Model
Recommended TBO       Number of Blades   Req      
Prop #1 Serial No. Date of New or O/H    
Total time since New or O/H  hrs
Prop #2 Serial No. Date of New or O/H    
Total time since New or O/H  hrs
                

AIRFRAME AND ENGINE MODIFICATIONS

If there have been airframe or engine modifications please describe as completely as possible the modifications, cost and dates.
Modification #1    Date     Cost     
Description: 
            
Modification #2   Date     Cost     
Description: 
           
Modification #3    Date     Cost     
Description: 
           
Modification #4    Date     Cost     
Description: 
            
Modification #5    Date     Cost     
Description: 

AVIONICS EQUIPMENT

Overall condition of Avionics:    Req      
Aircraft is Req      

 

Type of Avionic Make Model Channels  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
                    

ADDITIONAL EQUIPMENT

True Air Speed  Cockpit Voice Recorder
Yaw Damper Flight Recorder 
De-ice Boots Stall Warning
Prop De-ice   Air Conditioning
Rotating Beacon Long Range Fuel  
Strobe Lights Aux Fuel Quantity
      
Other equipment 
                  
If there is anything else that would affect the value of this aircraft please describe it below together with its original cost.
        
Estimated Cost:    
  
Are all Airworthiness Directives complied with ? 
If all AD's not complied with what is the estimated cost to comply? 
 

 

    
M&B Aviation Appraisal
North Richland Hills, Texas 76180
Fax: 817.428.5019
Telephone: 817.428.0091