AlphaNautical Marine Sales, Inc.
AlphaNautical Gallery
The Home of Seascapes & "Water-related" Original Fine Art
URL: www.AlphaNautical.com    Email: jestep@AlphaNautical.com
Office: 1423 Stagecoach Dr.; Richardson, TX 75080
Office Phone: 214-725-3393   Fax: 214-484-6820
Gallery: c/o RW Fine Art;12700 Hillcrest Rd. - Suite 291; Dallas, TX 75230
Gallery Location: 1 Block South of LBJ Frwy
Gallery: Phone: 972-239-5200   Fax: 972-239-5203
RECEIPT FOR THE CONSIGNMENT OF ART

AlphaNautical Client ID #: _______________   AlphaNautical Art ID #: _______________

TERM: __ Days - From (Date): _______________ - To (Date): _______________

Consignor:
Name of Consignor: __________________________________________________

Name of the Legal Owner of the Art: ____________________________________

Owner's Address: ______________________________________________________

Owner's City, State & Zip: ____________________________________________________

Phones: Home: ___________ Office: ___________ Cell: ___________ Fax: ___________

Email Address: ___________________________________________________________

Title of the Art: ________________________________________________________
(Note: If there is not a known title, a title will be assigned by the Gallery Director.)

Name of the Artist: ____________________________________________________

Size of the Art: Height: ___________ x Width: __________

Framed Size of the Art: Height: ___________ x Width: __________

Medium/Material: ___ Oil on Canvas ___ Other - Describe: ____________________

Signed: ___ Yes/No - ___ LL - ___ LR - ___ Other - Describe: ____________________

Dated: _____________

Condition of Art: _______________________________________________________________
Condition of Frame: _____________________________________________________________
Certificate of Authenticity - Y/N From: _______________________________________
Stated value on the Certificate: $______________ Date of Certificate: _________
Agreed Starting Price - Retail: $_______________  Special: $________________
Provenance (Full History of Ownership as known):
_________________________________________________________________________
_________________________________________________________________________

AlphaNautical Agrees to Display this art:
___ (Y/N) in the Gallery ___ (Y/N) and online; or
___ (Y/N) Online only
NOTE: Extra large art works may be stored and shown to specific clients
Authorized Prices & Expenses:
Retail: $________ Special (Discounted Price) $_______
Upon the sale of the art, the consignor will receive:
___ (Y/N) A fixed amount of $_________; - Or
___ (Y/N) A fixed percent _____% of the "FINAL SELLING PRICE" less Texas sales tax and any shipping or crating expenses.
NOTE: In the event that the painting is not an authentic original, is not sold, or has to be returned to the Consignor, all shipping, crating and insurance costs will be paid by the CONSIGNOR.

Other NOTES/COMMENTS:
_________________________________________________________________________________
_________________________________________________________________________________

GALLERY OFFICE & SETTLEMENT INFO:
AlphaNautical Gallery approves this commission payment to any Gallery personnel for the completion of a sale of this art: ___% of the net profit.
AlphaNautical Gallery approves this split of the NET PROFIT with RW Fine Art after the completion of a sale of this art: ___% to RW Fine Art.

Sold To: ___________________________________________ Date: _____________________

Selling Price of the Art	$______________
Repair, Stretching Framing Costs	$______________
Commissions to Gallery Sales Staff (Name:___________________)	$______________
Texas Sales Tax	$______________
Shipping, Crating & Insurance Expenses	$______________
NET PROFIT	$______________
NET TO CONSIGNOR/OWNER	$______________

Approved:


______________________________
Joseph E. Stephenson - Pres. in ___________ County, Texas on (Date) ____________________.