Questionnaire

Name *

First Name

Last Name

Did artist purchase artifact? *

Yes

No

Unknown

Was the artifact gifted to artist by a friend, associate or fan? *

Yes

No

Unknown

Is the existing provenance (if any) from a deceased person? *

Yes

No

Unknown

Do you have existing letter of authenticity (provenance) from another appraisal service? *

Yes

No

Is the artifact reportedly from the artist's primary residence? *

Yes

No

Unknown

Is the artifact reportedly from the artists secondary residence? *

Yes

No

Unknown

Was the artifact ever sold or consigned at auction? *

Yes

No

Unknown

Was the artifact ever listed or sold on eBay? *

Yes

No

Unknown