INVENTORY AND INSPECTION REPORT OF UNSERVICEABLE PROPERTY

As at _________________________________

Entity Name: _______________________________________ Fund Cluster : _____________________

______________________________ ______________________________ ______________________________
(Name of Accountable Officer) (Designation) (Station)

INVENTORY INSPECTION and DISPOSAL

Accumulated DISPOSAL RECORD OF SALES
Date Property Unit Total Accumulated Carrying Appraised
Particulars/ Articles Qty Impairment Remarks Others
Acquired No. Cost Cost Depreciation Amount Sale Transfer Destruction Total Value OR No. Amount
Losses (Specify)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18)

I CERTIFY that I have inspected each I CERTIFY that I have witnessed

I HEREBY request inspection and disposition, pursuant to Section 79 of PD 1445, of the property enumerated above. and every article enumerated in this report, the disposition of the articles
and that the disposition made thereof was, enumerated on this report this
in my judgment, the best for the public ____day of _____________,
interest. _____.
Requested by: Approved by:

(Signature over Printed Name of Accountable Officer) (Signature over Printed Name of (Signature over Printed Name of (Signature over Printed Name of
Inspection Officer) Witness)
(Designation of Accountable Officer) (Designation of Authorized Official)