- The requested building is not valid.
NOTICE OF EXCESS BUILDING FORM
This form was submitted on
Department declaring excess has completed Section 1 below and sent this form electronically to the Department of Administration.
Sale or disposal must have prior approval of the Commissioner of Administration or designee per AS 36.30.010 and AS 44.68.110.
Excessing agency shall retain full accountability for the building and any contents pending final disposition of the property.
State agencies interested in acquiring this property should contact
#.
Technical questions and reports of errors should be directed to
#.
Status:
SECTION 1 - Excessing Department
Excessing Department:
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Division:
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Property City:
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Building Data
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Mobile Home Data
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Building Name
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Size
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Building Number
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Year
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Outside Dimensions
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Make
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Floor Area
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Serial #
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Type of Construction
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Title Number
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Foundation
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Property Control Number
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Running Gear Attached
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Requirements
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Wannigan(s) Attached
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Building Removal
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Misc. Data
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If Building Removal is "NO", who has title of the land?
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Airport Land/Building?
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Lot #
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Block #
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Site Clean-up
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Utility Cap Off
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General Information
Physical Property Address:
Condition
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Type of Facility
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Name, Address, & Phone of Interested State Agencies
Additional Data/Comments/Recommendations
If sold to public, this department requests a deposit of $ ensuring compliance to all stipulations.
This department will confirm compliance for release of buyer's deposit.
Surplus Furnishings and Installed Equipment Included with Building:
I have additional materials that I will send through mail to DGS, P.O. Box 110210, Juneau, AK 99811-0210:
Authorization
I certify that the above information is correct to the best of my knowledge and that no further need of this unit exists within this region/department. None of the above listed surplus furnishings and equipment will be removed after the date of this report without prior written approval of the Department of Administration. Building remains the responsibility of excessing department until transfer or final disposition has taken place.
Name & Title of Region/Division Official
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Phone Number
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Date:
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Procurement Officer
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Phone Number
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Date:
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SECTION 2 - Leasing and Facilities Management
No requirement exists for continued use, suggest disposal by Property Management.
Continued use is directed by this office. Per AS 44 68.1220, update records to indicate transfer to:
Department
Division/Region
Location
SECTION 3 - Commissioner - Department of Administration
Property Management may proceed with disposal or transfer per AS 44.68.110 as recommended
Please contact me if you would like to know what my recommendation is.
Commissioner of Administration or Designee
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Date:
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SECTION 4 - Property Management - Department of Administration
This property has been disposed of as noted below:
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