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<br />.... <br /> <br />County/Site ' (' ().M <br /> <br />PROJECT: <br /> <br />Family Nutrition Program <br /> <br />FACILITIES SPACE VALUATION WORKSHEET <br />(Must be co"mpleted to count the value of any 'space') <br /> <br />FACILlTY:l'1I111'~~J"itlf ~~ <br />. (A separate ...!orksheet must e comp eted for each . <br />facilitv -(building) for which the value of sp~ce ~e- <br />considered.) <br /> <br />Form B <br /> <br />/ ' <br /> <br />.00 Depreciation (Use Allowanc.e) : <br />(Choose a, b, or c) . <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 />$ <br />( <br />( <br />( <br />$ <br /> <br />" <br /> <br />) <br />) <br />) <br />(NAC) , <br /> <br />Date of Acquisition: <br /> <br />Usefu4 Life: <br /> <br />Years, (ULj <br /> <br />a. Annual Straight-Hne 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 d~precjation 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 completefy'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 />~ fnterest, <br />, A.nnuaf 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 plant as properly alfocated 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 all properly <br />allocated fringe costs. Attach 'documentation, itemization; and calculations. $ . <br />. . . . <br /> <br /><D + ~ + <ID = ~. Total Facilities 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~ilding . <br /> <br />sq. ft. <br />sq. ft. <br />sq. ft. (Total Space)' <br />, , <br /> <br />~~[iJ <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 />