IN THE CIRCUIT COURT FOR FLORIDA IN RE: GUARDIANSHIP OF COUNTY, PROBATE DIVISION File No. Division REPORT OF APPRAISER (Single) The undersigned, reports that certain property of , being the duly appointed appraiser herein, (the Ward) was appraised, as directed in the order appointing appraiser, and the description and fair market value of the property are as follows: The undersigned appraiser certifies that the property was inspected and the necessary calculations to determine the value thereof were made by the appraiser. Under penalties of perjury, I declare that I have read the foregoing, and the facts alleged are true, to the best of my knowledge and belief. Signed on this day of , . [Print or Type Names Under All Signature Lines] Bar Form No. G-4.076 © Florida Lawyers Support Services, Inc. January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com