Princeton University - Surplus and Capital Equipment - Fair Market Value Determination Form

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Instructions:

This form is to be used to ask the Surplus Manager to determine the price of an item in your posession. Please fill in all appropriate fields. After you have completed the form, click on the Submit Fair Market Value Form button to submit the form to Surplus and Capital Equipment.

Fair Market Value Determination Form

Date:

(Required)

Contact Person:

(Required)

Phone Number:

(Required)

E-Mail Address:

(Required)

Department:

(Required)

Department Number:

Condition of Item:

(Required)

Good	- Item is functioning properly.
Fair	- Item works but may have some defects.
Poor	- Item may work but is not in acceptable condition to be of any use.
Scrap	- Equipment has no utility

Type of Equipment:

(Required)

Capital Equipment Asset Tag Number:
(If applicable)

Serial Number:

Manufacturer:

(Required)

Model Number:

Age of Equipment:

University PO #:
(Originally Purchased Under)

Vendor Purchased From:

Account # Originally Purchased Under:

Item Description:
(Required)

Comments:

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Princeton University, Princeton, New Jersey 08544 USA University Operator: 609/258-3000
Web page comments: edwardy@princeton.edu
General Comments: dparks@princeton.edu