The University of Tennessee, Knoxville

Tennessee County Municipal Advisory Service

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Surplus Property Nomination Form

Reference Number: MTAS-788
Tennessee Code Annotated
Reviewed Date: November 16, 2017
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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 making the nomination: ______________________________________________

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______________________________________________ _______________________
Signature                                                                                           Date

Responsible: