Revised: 02/2015
Property Acquisition Form
Contact Person: Department:
Department: Location of Property:
Floor / Room:
Employee assigned to:
(if applicable)
Brand / Make / Model: Year:
Serial / VIN:
City vehicle number:
(if applicable)
Cost of Item: Date received:
Description / Notes:
SUBMIT
If you are unable to submit this form electronically, email the completed form to:
financesupport@clermontfl.org
**FINANCE DEPARTMENT USE ONLY**
Tag #: Date tagged: Asset #: Inititals:
**This form applies to property that has an actual or estimated value of $1,000 or greater and has an estimated
useful life of more than one year.
CONTACT INFORMATION:
PROPERTY LOCATION:
PROPERTY INFORMATION:
Submit by Email
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