New York................19...

Mr.................

...........................

Dear Sir:

We value the premises situated at..............as shown on the diagram; together with the improvements thereon, consisting of ......................

.......................................................................................................................................................

at ............................................

This appraisal is made on the understanding, and is accepted on the condition that no member of the corporation making it, or any one connected with the corporation shall be called upon to give testimony concerning the value of the property appraised, or to give any information relating to it in or before any proceedings at law, or otherwise.