1 800-884-3254

Service Request Form

Please fill out and send to us with photos, documentation and payment to:
Bernard Ewell Art Appraisals,
PMB #447,7 Avenida Vista Grande B-7,
Santa Fe, NM 87508.
You can also email all the information to: info@bernardewell.com

CONTACT INFORMATION
Name (required)
Address (required)
City
State
Zip
Country
Telephone (required)
Cell
Email (required)

TYPE OF VALUE AND INTENDED USE OF REPORT
(please check one box only)

 Replacement Value for Insurance
Fair Market Value for:
 Sale of artwork Charitable donation Estate Settlement Dissolution of Marriage Valuation of Assets Make Collection Management decisions Other (please describe)

DALÍ PRINT(S) & OTHER MULTIPLES SERVICE REQUEST
Please fill out a separate form with all of the information you can for each print or suite.
Title of Print (required)
Purported Medium (etching, lithograph, bronze, etc.)
Publisher
Date Published
Edition Number (likely to be in pencil lower left)
Size of Image X inches or centimeters (circle one)
Signature (What is it, location, signed in pencil, pen, paint?)
Purchased From (name of gallery, dealer, auction)
Date of Purchase
Include any notes on condition and list of damage.
Include any other information you may have about the artwork or its history.
Please send copies of any documentation, certificates etc

FOR ARTISTS OTHER THAN DALÍ
Please fill out a separate form for each artwork

Name of Artist
Title of Work
Medium (oil paint on canvas, watercolor on paper, pastel on paper, etching, lithograph, bronze, marble, wood, etc.)
Dimensions (If the artwork is a print, include both image size and paper size.) X inches or centimeters (circle one)
Do any numbers appear on the work? (what, where?)
Is there a signature? (How is the name signed, location, signed in pencil, pen, paint?)
Is the work dated? (where, printed or handwritten?)
Titled? (written or printed?)
Dedication or other notation? (What is it, where is it?)
How was the artwork acquired? (If purchased, please give the name of the gallery or auction and year purchased. If a gift or inherited, please provide the name(s) of the previous owner(s) and year acquired, if known.)
Include any notes on condition and list of damage.
Please send copies of any documentation, certificates etc
Payment method  Sending check in the mail Will call with credit card information
NOTE: Please submit this Form by clicking on the send button and be sure to indicate payment method