"Delaware Surplus Services Excess Property Declaration Form" - Delaware

Delaware Surplus Services Excess Property Declaration Form is a legal document that was released by the Delaware Office of Management and Budget - a government authority operating within Delaware.

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Download "Delaware Surplus Services Excess Property Declaration Form" - Delaware

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Delaware Surplus Services Excess Property Declaration Form
Office of Management and Budget
Government Support Services
P.O. Box 299, Delaware City, DE 19706
SLC: N130
Phone: (302) 836-7640
Fax: (302) 836-7298
Email:
omb_surplusproperty@state.de.us
Department:
FSF Dept. ID:
Date:
Address:
Phone:
Fax:
Email:
Location:
Contact:
Authorized Signature and Title:___________________________________________
Description
Manufacturer
Model
Serial No.
Quantity
Original Cost
Condition Code
1.
_______________________
_________________
_____________
_______________
________
____________ ________________
Select One
2.
_______________________
_________________
_____________
_______________
________
____________ ________________
Select One
3.
_______________________
_________________
_____________
_______________
________
____________ ________________
Select One
4.
_______________________
_________________
_____________
_______________
________
____________ ________________
Select One
5.
_______________________
_________________
_____________
_______________
________
____________ ________________
Select One
6.
_______________________
_________________
_____________
_______________
________
____________ ________________
Select One
7.
_______________________
_________________
_____________
_______________
________
____________ ________________
Select One
OFFICE USE ONLY
Response Date:______________
Response Time:______________
Initials:_____________
Indicate Item #s:
Transfer
Pickup/Turn In
Scrap
Rec’g Agency:_______________
Date of Pickup/Turn In:____________________
Agency Removal?
Y
N
_____________
Date of Transfer:_____________
Time In:____________________
Time Out:___________________
Date of Pickup:_______________
Time In:____________________
Time Out:___________________
Date Received by Warehouse Personnel:______________________________________
Agency Signature for Pickup and/or Scrap:_____________________________________
Delaware Surplus Services Excess Property Declaration Form
Office of Management and Budget
Government Support Services
P.O. Box 299, Delaware City, DE 19706
SLC: N130
Phone: (302) 836-7640
Fax: (302) 836-7298
Email:
omb_surplusproperty@state.de.us
Department:
FSF Dept. ID:
Date:
Address:
Phone:
Fax:
Email:
Location:
Contact:
Authorized Signature and Title:___________________________________________
Description
Manufacturer
Model
Serial No.
Quantity
Original Cost
Condition Code
1.
_______________________
_________________
_____________
_______________
________
____________ ________________
Select One
2.
_______________________
_________________
_____________
_______________
________
____________ ________________
Select One
3.
_______________________
_________________
_____________
_______________
________
____________ ________________
Select One
4.
_______________________
_________________
_____________
_______________
________
____________ ________________
Select One
5.
_______________________
_________________
_____________
_______________
________
____________ ________________
Select One
6.
_______________________
_________________
_____________
_______________
________
____________ ________________
Select One
7.
_______________________
_________________
_____________
_______________
________
____________ ________________
Select One
OFFICE USE ONLY
Response Date:______________
Response Time:______________
Initials:_____________
Indicate Item #s:
Transfer
Pickup/Turn In
Scrap
Rec’g Agency:_______________
Date of Pickup/Turn In:____________________
Agency Removal?
Y
N
_____________
Date of Transfer:_____________
Time In:____________________
Time Out:___________________
Date of Pickup:_______________
Time In:____________________
Time Out:___________________
Date Received by Warehouse Personnel:______________________________________
Agency Signature for Pickup and/or Scrap:_____________________________________
DELAWARE SURPLUS SERVICES
Condition Codes for Excess Property
A.
UNUSED GOOD
Unused property that is usable without repairs.
Unused property that is usable without repairs, but is
B.
UNUSED FAIR
deteriorated or damaged.
C.
UNUSED POOR
Unused property that is usable without repairs, but is
considerably deteriorated or damaged. Enough utility remains
to classify the property better than salvage.
D.
USED GOOD
Used property that is usable without repairs, and
most of its useful life remains.
E.
USED FAIR
Used property that is usable without repairs, but is somewhat
worn or deteriorated and may soon require repairs.
F.
USED POOR
Used property that may be used without repairs, but is
considerably worn or deteriorated to the degree that reaming
utility is limited or major repairs will soon be required.
G.
SALVAGE
Property has some value in excess of its basic material
content, but repair or rehabilitation to use for the originally
intended purpose is clearly impractical repair for any use
would exceed 65 percent of the original acquisition cost.
H.
SCRAP
Material that has no value except for its basic
material content.
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