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Movable Asset Disposition Form
This form has been modified since it was saved. Please review all fields before submitting.
Property Tag Number:
*
Equipment Number:
*
Date:
*
Date:
Unit #:
*
Year:
*
Make:
*
Color:
*
Odometer/Hour Meter:
*
Vehicle Description:
VIN/serial number:
*
License Number:
*
Owning Department:
*
Using Department:
*
Type of Disposition:
*
Pilferage (Must include Police Report)
To Auction Lot
Trade-In
Donated (Must have Council approval)
Scrapped
Condition of Equipment:
Paint:
Battery:
Engine:
Differential:
Body:
Brakes:
Steering
Transmission:
Radio:
Clutch:
Upholstery:
Air conditioner:
Glass:
Heater:
Radiator:
Tires:
*
RF
RR
LF
LR
List all missing engine parts and accessories:
I certify that the above information is accurate and this vehicle is free of trash/debris.
Authorized Dept./Division Signature
*
Date:
*
Date:
Authorized Fleet Management Signature
*
Date:
*
Date:
Fuel Card
Canceled on:
Canceled on:
Fuel Card
Canceled on:
Canceled on:
Leave This Blank:
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Submit
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