Tangible Personal Property Report

OMB Number: 4040-0018
Expiration Date: 6/30/2020

TANGIBLE PERSONAL PROPERTY REPORT
Disposition Request/Report SF-428-C
Federal Grant or Other Identifying Number Assigned by Federal Agency (Block 2 on SF-428).

1. Request Disposition Instructions for:

For Agency Use Only
Agency response to requested disposition of Federally owned property:

a. Federally-owned Property
(Select one or more and attach Supplemental Sheet
SF-428S or recipient equivalent)

denied

(i) Recipient request approved

(i) Request Federal Agency disposition instructions
(ii) Other (Specify in Block 4 "Comments" or attach
request)
b. Acquired Equipment with current fair market value of
$5,000 or more
(Select one or more and attach Supplemental Sheet
SF-428S or recipient equivalent)
(i) Request unconditional transfer of title with no
further obligation to the Federal Government

(ii) Dispose in accordance with attached instructions:

Agency response to requested disposition of acquired equipment:
(i) Recipient request approved

denied
(ii) Dispose in accordance with attached instructions:

Authorized Awarding Agency Official:

(ii) Request Federal Agency disposition instructions

Signature:

Date:

Name:

Phone:

Title:

E-Mail:

2. Report Disposition by Sale or Retention
a.

Retention of acquired equipment for use on non Federally supported projects

b.

Sale of acquired equipment
(Attach Supplemental Sheet SF-428S or recipient equivalent and complete worksheet below)
(i)

Sale proceeds or

Estimate of current fair market value . . . . . . . . . . . . .

$

(ii) Percentage of Federal participation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

%

(iii) Federal share . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

(iv) Selling and handling allowance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

(v) Amount remitted to the Federal Government . . . . . . . . . . . . . . . . . . . . . . . . . .

$

3. Report Loss, Destruction or Theft of Federally-owned Property
Loss, Destruction, or Theft of Federally-owned property
(Attach Supplemental Sheet SF-428S or recipient equivalent and describe the circumstances in Block 4)

4. Comments
Add Attachment

DISPOSITION REQUEST/REPORT ATTACHMENT TO TPR

Delete Attachment

Agency Use Only

View Attachment

Instructions for Disposition Request/Report: SF-428 Attachment C
A. General Instructions:
This Attachment is to be used by recipients when required to request disposition instructions or to report disposition of
Federally-owned property or acquired equipment under Federal assistance awards at any time other than award closeout
(i.e., during the award period or after closeout as long as the Federal Government retains an interest in the item.
Recipients provided Federally-owned property for use under Federal assistance awards are required to request
disposition instructions from the awarding agency when the Federally-owned property is no longer needed for the
authorized purpose. Recipients may be required to request disposition instructions for equipment acquired with award
funds (acquired equipment) when an item is no longer needed for use on Federally-sponsored activities. Recipients may
also be required to provide compensation to the awarding agency when acquired equipment is sold or retained for use on
activities not sponsored by the Federal Government. This attachment is intended to assist recipients in providing
appropriate information to the awarding agency. Note: If the Federal awarding agency has exercised statutory authority
to vest title to acquired equipment in the recipient with no further obligation to the Federal government, you are not
required to request disposition instructions or to report disposition (i.e., sale or retention for non Federal use) of those
items of equipment.
Federal Grant or Other Identifying Number Assigned by Federal Agency. Enter the Federal grant, cooperative
agreement or other Federal financial assistance award instrument number or other identifying number assigned to the
Federal financial assistance award.
1. Request Disposition Instructions for: Use this section to request Federal awarding agency disposition instructions
when required by the award provisions.
a. Federally-owned Property. Consists of items that were furnished by the Government. Check applicable boxes to
indicate the requested Federal awarding agency action for items that are no longer needed for use on the award
specified in Block 2.
(i) To request Federal agency disposition instructions.
(ii) To request a specific disposition, e.g., transfer to another award.
b. Acquired Equipment with a current fair market value of $5,000 or more. Note: Fair market value means the
best estimate of gross sales proceeds if the property were to be sold in a public sale. Check applicable boxes to
indicate the requested Federal awarding agency action.
(i) To request approval to trade-in or sell to offset costs of replacement equipment.
(ii) To request Federal agency disposition instructions for equipment acquired with award funds.
2. Report Disposition by Sale or Retention. Use this section when required to compensate the Federal awarding
agency for its interest in acquired equipment with a current fair market value of $5,000 or more that you have sold or
retained for use on non Federally supported activities. Check applicable blocks to indicate the type of action being
reported and complete the worksheet to calculate the amount of compensation due to the awarding agency for its interest
in the equipment.
a. Retention of acquired equipment for use on non-Federally supported projects.
b. Sale of acquired equipment.
Worksheet
(i) Enter the total amount received if the equipment has been sold. Enter an estimate of the current fair market
value if the equipment will be retained for use on non Federally funded projects.
(ii) Enter the percentage of Federal Government participation in the award under which the equipment was
acquired.
(iii) Enter the dollar amount of sales proceeds (or estimate of current fair market value) multiplied by the
percentage of Federal Government participation listed in (ii).
(iv) If the equipment was sold, enter the amount of selling and handling expenses. Enter zero if the supplies
will be retained for use on non Federally funded projects.
(v) Enter the amount of the Federal share in (iii) less the selling and handling expense listed in (iv). Indicate in
Block 4 how the funds are being returned to the government. For example, attached check made out to the
Awarding Agency/U.S. Treasury or electronic remission.
4. Comments. Provide any explanations or additional information in this block. Attach additional sheets if necessary.
Agency use only. This section is reserved for Federal agency use only.

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