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March 16, 2004 BA-3050.1A
BA-3050.1A March 16, 2004
DONATION OF MOVABLE PROPERTY FORM
Prior to acceptance, all donated movable property MUST BE INSPECTED BY THE COLLEGE RECIPIENT** AND all approval signatures must be received. This completed form serves as verification of inspection and acceptance.
PROSPECTIVE DONOR INFORMATION (Completed by Institutional Advancement Office)---------------------
Organization/Name of Donor:
Street Address: | |||
City/State/Zip Code: | |||
Contact Person: | Phone Number: | ||
DONATION INFORMATION (Completed by Prospective Delgado Recipient)-----------------------------------------
Description of Prospective Item(s) to Be Donated:
Original Value: Current Fair Market Value*:
*Current fair market value is agreed upon between donor and the College and is verified by the College recipient. All items with a current fair market value of $1,000 or more must be inventory-tagged as state property. | |
Location of Item(s) to be Donated: | |||||
RESPONSE BY PROSPECTIVE DELGADO RECIPIENT----------------------------------------------------------------
Proposed Purpose of the Item by Delgado Community College (Tax Identification Number 72-6012995):
Condition of Item/ |
Other Comments: | |||||||||
Transportation of Item(s) to be Provided by: | Donor | Delgado | |||||||
**My signature verifies that I have inspected the donated item(s), have verified the fair market value of | |||||||||
donated item(s), and will maintain the property in accordance with the College’s property control policy. | |||||||||
___________________________________________________ | _____________________________ | |||||||||
Signature of Delgado Employee Requesting Receipt of Item | Date | |||||||||
DELGADO APPROVAL -----------------------------------------------------------------------------------------------
_____________________________ | _________________________________ | ________________________________________ |
Dean/ Department Head Date Executive Dean/Vice Chancellor Date Vice Chancellor, Bus.& Admin. Affairs Date
Original: Property Control; Copies: Institutional Advancement; Controller’s Office Form 3050/001 (6/12)
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