My suggestion...(by ghostrider)
Title: Simple Scraps
Size: XX" x XX" lap quilt
Desc: 100% cotton fabric, cotton thread
Machine pieced and quilted by Michael Holmes, your city, state
August 2011
Design by The Missouri Star Quilt Company
That is the basic information that the owner would need to provide to an appraiser so why not make it easy for them.
This looks like an excellent choice to me.