Form Sf-428-B - Tangible Personal Property Report
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2TANGIBLE PERSONAL PROPERTY REPORT
Final Report SF-428- B
Federal Grant or Other Identifying Number Assigned by Federal Agency (Block 2 on SF-428).
1. Report
(Select all that apply)
a. ___ Federally-owned Property
(List on Supplemental Sheet SF-428S or recipient equivalent and complete Section 2a below.)
b. ___ Acquired Equipment with acquisition cost of $5,000 or more for which the awarding agency has reserved the right to transfer title
(List on Supplemental Sheet SF-428S or recipient equivalent and complete Section 2b below.)
c. ___ Residual Unused Supplies with total aggregate fair market value exceeding $5,000 not needed for any other Federally sponsored
programs or projects. (Complete Section 2c below)
d. ___ None of the above
2. Complete relevant section(s)
For Agency Use Only
2a. Federally-owned Property
Agency response to requested disposition of Federally owned property:
(Select one or more.)
(i)
Recipient request approved___ denied ___
(i)
___ Request transfer to Award ______________
(ii) ___ Request Federal Agency disposition instructions
(ii)
Dispose in accordance with attached instructions ___.
(iii) ___ Other (Provide detail in Block 3 or attach request)
2b. Acquired Equipment (Select one or more.)
Agency response to requested disposition of acquired equipment::
(i)
Recipient request approved___ denied ___
(i) ___ Request unconditional transfer of title with no
further obligation to the Federal Government.
(ii)
Dispose in accordance with attached instructions ___
(ii) ___ Request Federal Agency disposition instructions
Authorized Awarding Agency Official
Signature:
Date:
Note: If the awarding agency does not provide disposition
instructions within 120 days the recipient may continue to
Name:
Phone:
use the equipment for Federally supported projects or
dispose in accordance with the applicable property
Title
Email
standards.
2c. Reportable Residual Unused Supplies
……………………
(i)
__ Sale proceeds or __ Estimate of current fair market value
$_____________
…….………………………………………
(ii)
Percentage of Federal participation
_____________%
…………………………….…………………………………
(iii)
Federal share
$____________
…….……………………………..…………..
(iv)
Selling and handling allowance
$____________
……………………………………
(v)
Amount remitted to the Federal Government
$____________
3. Comments
Agency use only
FINAL REPORT ATTACHMENT TO SF-428
OMB Approval Number: 3090-0289
Expiration Date: 4/30/2013
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