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<br /><- <br /> <br />~ <br /> <br />PROJECT: <br /> <br />70unty/Site fum; r~~ <br /> <br />FACILITIES SPACE VALUATION WORKSHEET <br />(Must be co'mpleted to count the value of any 'space') <br /> <br />~fl~".~ ~ <br />FACILITY: LtlU......... <br />(A separate worksheet must be co~pleted for each <br />. '- <br />facility (building) for which the value of space will be' <br />considered.) <br /> <br />Form B <br /> <br />I <br /> <br />Family Nutrition Program <br /> <br />.(1) Depreciation (Use AUciwanc.e) : <br />(Choose a, b, or c), <br /> <br />Date of Acquisition: <br /> <br />, <br /> <br />$ ~ J.J;l 17(,,1 8~'1-'V <br />( -' ~f' / -!f,G~ / <br />( ,..-9..s-i, ,..~.-?) <br />. (.' . / . <br />"$ .q c>, ~ 0J? l.f a 7 <br />;: f <br />. CI"~ _ <br />~/ , ,;) Useful Life: ..? c) JI- ;.5 <br /> <br />) <br />)' <br />) <br />(NAC) . <br /> <br />Gross Acquisition Cost <br />(Less) c9st of land <br />(Less) Federal Gov't., Contribution <br />. -(Le~s) . <br />New Acquisition Cost <br /> <br />a. Annual Straight,-Une Deprecia!!.9,n...;.(1+ UL).x NAC <br />: (If this method use~ chec~ere.)' . <br /> <br />$ <br /> <br />Years, (ULj <br />~ oS-: cn.r-r/ <br />r . , <br /> <br />OR <br /> <br />b. Where State, County, or other govemmentai agency has figures' available, in lieu of the above . <br />calculation,use that govemm~nt's d~precjation figure from.its annual financial report, assuring that any <br />cost of land and any Federal Govemment 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 CF.R Part 227, Appendix A, A(11). When using a. .use allowance", attach calculations and <br />check 0 here. <br /> <br />$ <br /> <br /><ID Interest, <br />. !,-.nnual interest on debt associated with the facility; attach documentation. ~ <br /> <br />~ .~ <br /> <br />~ <br /> <br />= <br /> <br />Total Facility Cost.;. Total Space = Cost I Sq. Ft. = <br /> <br />. . <br /> <br />(Cost/Sq. Ft.) @] <br /> <br />loverl' <br />