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TANGIBLE PERSONAL PROPERTY REPORT SF- 428

TANGIBLE PERSONAL PROPERTY REPORTSF- 428 OMB Number: 4040-0018 Expiration Date: 6/30/20201. Federal Agency and Organizational Element to Which REPORT is Submitted3a. DUNSR ecipient Organization Name:Street1:Street2:City:State:ZIP / Postal Code:Country:County:Province:2. Federal Grant or Other Identifying Number Assigned byFederal Agency4. Recipient Organization (Name and complete address including zip code)3b. EIN5. Recipient Account or Identifying Number6. Attachment (Check applicable)Disposition REPORT /Request (SF-428-C)Final (Award Closeout) REPORT (SF-428-B)Annual REPORT (SF-428-A)7. Supplemental SheetYesNo8. Comments9a. Typed or Printed Name and Title of Authorized Certifying OfficialPrefix:First Name:Middle Name:Last Name:Suffix:Title:9b. Signature of Authorized Certifying Official9c.

Use the Disposition Request/Report, SF-428-C, when required to request disposition instructions for or to report the disposal of Federally-owned property or acquired equipment, at any time other than award closeout (i.e., during the award period or after award closeout as long as the Federal government retains an interest in the item).

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Transcription of TANGIBLE PERSONAL PROPERTY REPORT SF- 428

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