Print Form
F
S
P
EDERAL
URPLUS
ROPERTY
W
L
ANT
IST
Submit to: Federal Surplus Property, 2700 W . Van Dorn Street, Lincoln, NE 68509
(You may use U.S. Postal mail, fax 402-471-2769, or scan to E-mail at Brad.Frandsen@nebraska.gov)
Name of Organization:____________________________________________________________
Contact Name:_________________________________________________________________
Street Address:___________________________________PO Box Number__________________
City__________________________ State___________________ Zip Code_________________
Phone: _________________ Fax_______________ E-mail:______________________________
DESCRIPTION OF PROPERTY:
1._______________________________________________________________________________________________
2._______________________________________________________________________________________________
3._______________________________________________________________________________________________
4._______________________________________________________________________________________________
5._______________________________________________________________________________________________
6._______________________________________________________________________________________________
7._______________________________________________________________________________________________
8._______________________________________________________________________________________________
9._______________________________________________________________________________________________
10.______________________________________________________________________________________________