Asset Disposal Form
After signatures are obtained, submit the original form to the Business Office, attach a copy of the
form to the item so maintenance/custodial personnel know the form has been completed, and
then schedule disposal of the item.
1. Identifying Information
Year
Make/Manufacturer
Model
Serial Number
Description of Item
Asset ID #
2.
Item Location
Sheridan College
Building
3.
Gillette College
Dept/Area
Buffalo
Room #
Purchase Information
Was this asset purchased with grant funds?
4.
Spear-O
Yes
No
Disposition Method
Sold
Donated
Scrapped
Reason for sale/donation/scrapping
5.
Item Value
Sale Price $
6.
Donate Value
$
Purchaser/Donatee Information
Purchaser/Donatee
Street/PO Box
City
State
Phone Number
7.
Zip
Email
Approval
Dean
Date
CFO/VP of Administration
Date
For Grants Office Use
Buy-Out of Federal Share of Asset
Current Market Value over $5,000
$
Percent of Asset federally funded
x
Amount of Federal interest in asset
=
10% Selling & Handling Fee or $500
(Whichever is less)
-
Amount returned to Granting Agency
=
Req #
PO #
Voucher #
Date Mailed
Check #
Account #
Return of Asset to Federal Agency
Shipping costs to be
reimbursed by Federal Agency
Amount received from Federal
Agency
$
$
Date received
Account # receipted into
Cash Receipt #