Fillable Printable Request For Valuation Service Gsa Form

Request For Valuation Service Gsa Form

GENERAL SERVICES ADMINISTRATION

REQUESTFORVALUATIONSERVICE

1. REQUEST NO.

This form is for use in requesting valuation service of real property and related personal property. Submit original to the appro-

prate AppraisalStaff, ir. theCentral Officeorthe Regional Appraiser in theRegionalOffice. Requesting office shouldretain

a duplicate copy. Use reverse for any additional information.

2. REQUESTING OFFICE3. NAME OF REQUESTING OFFICER

4. PURPOSE OF APPRAISAL IS TO ESTIMATE (If "other service," check item 4.g., and complete)

a. FAIR MARKET VALUE (ACQUISITION)

b. FAIR MARKET VALUE (DISPOSAL)

c. FAIR ANNUAL RENTAL

d. FAIR CONSIDERATION FOR A PARTIAL RELEASE UNDER AN

EXISTING MORTGAGE.

e. INSURABLE VALUE

f. FAIR MARKET VALUE (PROPERTY TO BE LEASED TO THE U.S.)

g. OTHER SERVICE (Specify)

5. ADDRESS OF PROPERTY (Number, street, city and state)

7. NAME BY WHICH PROPERTY KNOWN, OR PLANCOR NUMBER

6. DATE OF ACQUISITION*

8. ORIGINAL COST*

9. LEGAL DESCRIPTION OF PROPERTY TO BE APPRAISED (Continue on reverse, if necessary. Refer to item number)

a. LOT NO., BLOCK NO., NAME OF SUBDIVISION, AND CITY OR COUNTY

b. METES AND BOUNDS

c. OTHER

10. BRIEF DESCRIPTION OF MACHINERY, EQUIPMENT, OR OTHER PERSONALITY

11. BRIEF DESCRIPTION OF IMPROVEMENTS (Buildings, structures, above-ground utilities, etc.)

12. PRESENT OWNER (Identity and address)

13.ATTACHMENTS(Listhere,ifavailable,suchdataanddocumentsasmaybeattached;forexample,maps,plotplans,working

drawings,1andsurveys,inventoried,togetherwiththelegaldescriptionofalleasements,encroachments,liens,existing

leases,orotherencumbrance,whichmightaffectthemarketabilityofthepropertyspecified.Useadditionalsheets,if

necessary. Refer to item number)

14. SIGNATURE OF REQUESTING OFFICER

15. DATE OF REQUEST

* Government-owned property ONLY.

GSA DC 68-1924

GSA

FORM

SEP 67