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<br />'- <br /> <br />--, <br /> <br />,~ <br /> <br />County/Site . <br /> <br />FACILITIES SPACE VALUATION WORKSHEET <br />(Must be co'mpleted to count the value of any 'space') <br /> <br />I Form B I <br /> <br />PROJECT: Family Nutrition Program <br /> <br />FACILITY: <br />, (A separate worksheet must be completed for each <br />facility - (building) for which the value of space will be' <br />considered.) <br /> <br />.CD Depreciation (Use Allowance) : <br />(Choose a, b, or c) , <br /> <br />, <br /> <br />Gross Acquisition Cost <br />(Less) c9st of land <br />(Less) Federal Gov't.. Contribution <br />, -(Le:5s) <br />New Acquisition Cost <br /> <br />$ <br />( <br />( <br />,( <br />"$ <br /> <br />" <br /> <br />) <br />)' <br />) <br />(NAC) , <br /> <br />Date of Acquisition: <br /> <br />Usefu~ Life: <br /> <br />Years, (ULY <br /> <br />a. Annual Straight,-Une Depreciation = (1... UL).x NAC <br />(If this method use~ check 0 here.)' <br /> <br />$ <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 depreciation figure fromJts 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 />, A.nnual interest on debt associated with the facility; attach documentation. <br /> <br />" ~ <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 plant as properly allocated to this facility. Includes janitorial and utility services; , <br />. environmental saJety, hazardous waste disposal; property liability, and all other insurance relating to property; <br />leasing costs; ,facility planning and m'anagement; central receiving. Salaries and wages should include air properly <br />allocated fringe costs. Attach documentation, itemization; and calculations. $ <br /> <br />Q) + ~ + <ID= !~l Total Facilitie,~ Cost $ <br /> <br />Gross amount of interior space in entire facility/building . <br />(Less) common areas (hallways sta.ircases, restrooms, lobbies, etc.) <br />Net. amount of usable interior space in entire facility/b~i1ding , <br /> <br />sq. ft. <br />sq. ft. <br />sq. ft. (Tot,al Space)' <br /> <br />.~.~ ~ <br /> <br />= <br /> <br />~ <br /> <br />, Total Facility Cost ... Total Space = Cost / Sq. Ft. = <br /> <br />$ <br /> <br />(Cost/Sq. Ft.) @J <br /> <br />lover\ . <br />