Orange County NC Website
68 <br />U.S. DEPARTMENT OF ENERGY <br />FINANCIAL ASSISTANCE <br />PROPERTY CLOSEOUT CERTIFICATION <br />111. REAL PROPERTY: (Real Estate - 10 CFR 600.132, /600.231, 600.321, or FDP General Terms and Conditions No. 32, as <br />{ applicable) ^ No ^Yes (If ves, complete A -C) <br />A. Description of Real Property: <br />B. Complete Address of Real Property: <br />C. Period of Federal interest in the Property: From To (Unless the award speafies otherwise, the <br />Federal Interest in the property ends when the award project period ends. ) <br />p. Disposition Preference Request. If the period of Federal Interest in the property exceeds the project_period, check one of <br />the following blocks to indicate your disposition preference: <br />^ Transfer property to another Federal award. <br />^ Sell and compensate DOE. <br />^ Retum to DOE. <br />^ Retain title and compensate DOE for its share of the current fair market value of the property. <br />Certification: I certify to the best of my knowledge and belief that all information presented in this report is true, correct and <br />complete, and constitutes a material representation of fact upon which the Federal government may rely.. <br />Name Signature Title Date <br />Page 2 of 3 <br />