Surplus Property Nomination Form
SURPLUS PROPERTY NOMINATION FORM
CITY OF ANYTOWN, TENNESSEE
DEPARTMENT: __________________________________
The following items are hereby nominated for designation as surplus city property pursuant to
City Resolution No. __________________:
Item: ____________________________________
Description: _______________________________
Serial Number: _____________________________
Age: ___________ Asset #: ___________
Estimated Remaining Useful Life (Years)__________
Purchase Price: ________________
Estimated Current Value: _______________
Reasons for Surplus Designation: _________________
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Signature / Printed Name Date