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<br />County/Site <br /> <br />FACILITIES SPACE VALUATION WORKSHEET <br />(Must be completed to count the value of any 'space') <br /> <br />Form B <br /> <br />PROJECT: Family Nutrition Program <br /> <br />FACILITY: .A1f1dl,5P.-v ~ ~ c.n-y..../ <br />, <br />(A separate worksheet must be completed for each <br />facilitv (building) for which the value of space wiff be <br />considered.) <br /> <br /><D Depreciation (Use Allowance) <br />(Choose a, b', or c) <br /> <br />Gross Acquisition Cost <br />(Less) cost of land <br />(Less) Federal Gov't. Contribution <br />(Less) <br />New Acquisition Cost <br /> <br />Date of Acquisition: If 5' ct 1'1 75 <br /> <br />$ j, 'I3~/7;2& <br />( <br />( <br />( <br />$ 1."1 3~. '7;z. Co <br /> <br />Useful Life: 5 0 <br /> <br />) <br />) <br />) <br />(NAC) <br /> <br />Years, (UL) ",1 p~ <br /> <br />;28: 77~,5 .:< <br /> <br />a. Annual Straight-line Depreciation = (1 + UL) x NAC <br />(If this method used check 0 here.) <br /> <br />$ <br /> <br />OR <br /> <br />b. Where State, County, or other governmental agency has figures available, in lieu of the above <br />calculation, use that government's depreciation figure from its annual financial report, assuring that any <br />cost of land and any Federal Government contribution has been first deducted. <br />(Attach copy of financial statement and check 0 here.) $ <br /> <br />OR <br /> <br />c. Where building has been completely depreciated, calculate a reasonable use allowance according to <br />criteria at 7 CFR Part 227, Appendix A, A(11). When using a "use allowance", attach calculations and <br />check 0 here. <br /> <br />$ <br /> <br />~Interest <br />Annual interest on debt associated with the facility; attach documentation. $ <br /> <br /><ID Operation and Maintenance Expenses <br />Expenses incurred for the administration, supervision, operation, maintenance, preservation, and protection of the <br />building agency's physical planf"as properly allocated to this facility. 'Includes janitorial and utility services; <br />environmental safety, hazardous waste disposal; property liability, and all other insurance relating to property; <br />leasing costs; facility planning and management; central receiving. Salaries and wages should include all properly <br />allocated fringe costs. Attach documentation, itemization, and calculations. $ <br /> <br />Q) + ~ + <ID = ~ Total Facilities Cost $ ;J. 8: "7? f". 5::< <br /> <br /> <br />Gross amount of interior space in entire facility/building 6 oS. ,;1. ~ , sq. ft. <br />(Less) common areas (hallways staircases, restrooms, lobbies, etc.) II J ~ 5 3 sq. ft.' <br />Net amount of usable interior space in entire facility/building rr. .;l / 3 sq. ft. (Total Space) <br /> <br />~+~ <br /> <br />= <br /> <br />~ <br />$ ,.(,5 <br /> <br />(Cost/Sq. Ft.) @J <br /> <br />Total Facility Cost + Total Space = Cost / Sq. Ft. = <br /> <br />(over) <br />