PAGE

OF

REPORT OF PERSONAL PROPERTY FOR SALE

1. FROM (NAME, ADDRESS AND ZIP CODE OF OWNING AGENCY)

2. REPORT NO.

3. DATE

4. FSC GROUP

5. TOTAL ACQUISTION COST

6. PUBLIC MAY INSPECT PROPERTY BY CONTACTING (NAME, ADDRESS, ZIP CODE AND TELEPHONE NO.)

7. PROPERTY LOCATED AT

8. TO

•

•

a. ACTIVITY WILL LOAD FOR PURCHASER

General Services Administration

9. LOADING

 (1) YES       (2) NO

BY GOV'T

b. EXTENT (IF CHECKED "YES")

10. PROPERTY IS EXCHANGE/SALE

11. PROPERTY IS REIMBURSABLE

 a. YES        b. NO

 a. YES           b. NO

12. SEND EXECUTED SALES DOCUEMNTS TO (NAME, ADDRESS AND ZIP CODE)

13. DEPOSIT PROCEEDS TO (APPROPRIATE FUND SYMBOL AND TITLE)

14. STATION DEPOSIT SYMBOL OR STATION ACCOUNT NUMBER

15. UTILIZATION AND DONATION SCREENING REQUIREMENTS COMPLETED. PROPERTY IS AVAILABLE FOR SALE

BY (SIGNATURE AND TITLE)

16.

PROPERTY LIST (USE CONTINUATION SHEET, IF NECESSARY)

ITEM NO.

COMMERCIAL DESCRIPTION AND

UNIT

NUMBER

ACQUISITION COST

ITEM
NO.

(a)

ASSIGNED  BY GSA


(b)

CONDITION


(c)

(d)

OF
UNITS

(e)

PER UNIT


(f)

TOTAL


(g)

17. RECEIPT OF PROPERTY AT GSA SALES SITE OR CENTER ACKNOWLEDGED

18. RECEIPT OF REPORTS IS HEREBY ACKNOWLEDGED

DATE

SIGNATURE AND TITLE

DATE

FOR GSA INTERNAL USE ONLY

19. SALE NO.

2. TYPE OF SALE

21. INSPECTION DATES

22. BID OPENING DATE AND TIME

STANDARD FORM 126 (REV. 7-78)
Prescribed by GSA, FPMR (41 CFR)
101-45.303