I, _________________________________, personally take legal and ethical responsibility for the correct grading of the diamond I am representing. I promise that the diamond being presented to you is as follows:

Minimum Diameter Measurement (mm)
____________________________

Maximum Diameter Measurement (mm)
____________________________

Depth Measurement (mm)
____________________________

GIA/AGS Clarity Grade
*I certify it to be now and forever
[ ] eye visible without magnification
[ ] not eye visible without magnification

GIA/AGS Color Grade
(I used master color set #____________)

Exact Weight_____________
Offering Price_____________
Cut: Shape________________
GIA Cut Grade____________

Proportions:
Total Depth %____________
Table Size %______________
Pavilion Angle_____________
Pavilion Depth_____________
Culet Size_________________
Girdle Thickness____________
Star/Facet Length____________
Polish_____________________
Symmetry__________________
Lower Girdle Facet___________
Crown Angle________________
Crown Height_______________

Comments____________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________


I swear that my store management also binds themselves that my grading is accurate and not based on guesses or approximate comparisons of other than GIA or AGS grading systems.


I further swear that if this diamond is bought by this customer, that this customer may have the diamond graded at the customer's expense by the Gemmological Institute of America(GIA) or the American Gemological Society (AGS) Laboratories, and if the stone is not graded by the GIA/AGS at the same or better grades as listed above, that (the store) ___________________________ will reimburse the entire cost of shipping, insurance, and the entire cost of the Grading Report or Diamond Quality Document (usually $100-$150) and will replace the diamond at no additional cost with one of the same weight and grades as listed above, also to be verified by the GIA/AGS Labs.


Salesperson's Name _____________________________________________

Position _______________________________________________________


____________________________________________________

Signature of Salesperson

____________________________________________________

Signature of Management