Checklist for Real Property Reporting

OMB Control No. 0610-0096
Expiration Date: xx/xx/20xx

ECONOMIC DEVELOPMENT ADMINISTRATION

REAL PROPERTY STATUS REPORTING CHECKLIST FOR PROJECT CLOSEOUT
EDA Award Number:

Date:

Recipient(s):
Co-Recipient(s):
Recipient’s Authorized Representative:
Name & Phone Number

Enter the Legal Description from the Site Certificate Form/Title Opinion

The Estimated Useful Life from the Special Award Conditions is

years.

1. The Recipient acknowledges the Records Retention Requirement requiring records to
be maintained for a minimum of three years. As Real Property Status reporting is
required during the entire useful life of the project, the Recipient is encouraged to
maintain documentation needed for the Real Property Status Reports (typically up to
15 years or 20 years). Link to the SF-429 Forms. (Examples of documentation
include: Site Certificate and past Real Property Status Reports.)
2. The contact information for the person responsible for the submission of the Real
Property Status Reporting: If this person/contact information changes, the recipient
will notify EDA with the new information.
Name:
Title:
Organization:
Address:
Phone Number:
Email Address:

Prepared By (Name & Title)

Prepared By (Signature)

Date
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Y

N

NA