FS-2700-8 Annual Gross Fixed Assets for Purposes of Annual Land Us

USDA - Forest Service
USDA Forest Service
ANNUAL GROSS FIXED ASSETS FOR PURPOSES OF
ANNUAL LAND USE FEES CALCULATION

1. Name of Concessioner
2.

At
Booked
Cost or Other
Basis
(a)

(Reference FSM 2710)
I. Description of Assets (GFA)

Depreciation
Schedule
(b)

(Cumulative Totals Carried Forward)

$

II. Adjustments +(-)
Amount
(a)

, 20

Code
(b)

$

GFA
for Fee
Calculation
(a)

$

D

R
AF

T

Date
Acq’d

GFA List
(a)

FS-2700-8 (XX/202X)
OMB No. 0596-0082

Grand (or cumulate page) Totals ——————————>

$

$

Fiscal Year change adjustment (FSM 22783.11a.R3-A3)

(

Net GFA (Block E, form FS-2700-19, also See permit)

$

Adjustment Codes
A – Intangible asset (explain)
B – Uncapitalized cost to provide utility service
C – Expensed assets allowed by this Old permit
D – Value of leased assets not capitalized
E – To scale down value of assets used both on and off the permit (explain).
F – Assets used during the year, but sold before yearend
G – Not used in permitted activity, or allowed by Permit Terms (explain).

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USDA - Forest Service

FS-2700-8 (XX/202X)
OMB No. 0596-0082

Instructional Sample
USDA Forest Service
RECONCILIATION OF GROSS FIXED ASSETS (GFA)
TO BOOKED AMOUNTS
(Reference FSM 2710)
I. Description of Assets (GFA)
GFA List
Depreciation Schedule
(a)
(b)

Date
Acq’d

(Beginning of the year Total Capitalized
Assets)

1. Name of Concessioner

Sample
2.

Booked Cost
or Other Basis
(a)
$

At

1,215,000
250,000

II. Adjustments +/Amount
Code
(a)
(b)
$ (115,000)

(250,000)

D
A

,

20
GFA for Fee
Calculation
(a)
$

1,100,00
0

2/19

Restaurant
Goodwill

Goodwill

2/25

Restaurant
equipment

(detail on actual list)

720.000

5/10

D-5 Dozer

Equipment

100,000

(60,000)

E

40,000

5/10

Cadillac Fleetwood

Vehicles

17,000

17,000

G

-0-

1975

D-6 Dozer (Sold in
May )

Equipment

0

40,000

F

1975

Motel building
Powerline

Model building

0

150,275

B

1976

Ski slope maint.

27,832

C

T

720,000

R
AF
---

-0-

---

40,000
150,275

27,832

Ending Balance
Sheet Total

D

Grand (or cumulate page) Totals ——————————
$
2,302,000 $ (223,893)
>
Fiscal Year change adjustment (FSM 22783.11a.R3-A3) ————————————————————
—>
Net GFA (Block E, form FS-2700-19, also See permit) —————————————————————
——>
Ownership proration adjustment 100% - 96% = 4%
Adjustment Codes

A – Intangible asset (explain)
B – Uncapitalized cost to provide utility service
C – Expensed assets allowed by this Old permit
D – Value of leased assets not capitalized
E – To scale down value of assets used both on and off the permit (explain). Rented out
F – Assets used during the year, but sold before yearend
G – Not used in permitted activity, or allowed by Permit Terms (explain). Used by wife

2,078,10
7
(
$

)

2,078.10
7

60% of the time
who does not work in the business

PAPERWORK REDUCTION ACT STATEMENT
According to the Paperwork Reduction Act of 1995, a Federal agency may not conduct or sponsor, and a person is not required to respond to, an information
collection request unless it displays a valid Office of Management and Budget (OMB) control number. The valid OMB control number for this information collection
request is 0596-0082. Response to this information collection request is required to obtain or retain benefits, specifically, a special use authorization. The authority
for this information collection request is the Organic Administration Act,16 U.S.C. 551. The time required to complete this information collection request is

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USDA - Forest Service

FS-2700-8 (XX/202X)
OMB No. 0596-0082

estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, collecting and maintaining the data
needed, and completing and reviewing the information collection request. Send comments regarding this burden estimate or any other aspect of this information
collection request, including suggestions for reducing the burden, to Forest Service Information Collections Officer, [email protected], with OMB
control number 0596-0082 in the subject line.
PRIVACY ACT STATEMENT
Pursuant to 5 U.S.C. § 552a(e)(3), this Privacy Act statement serves to inform you of the following concerning the collection of the information on this form.
Purpose: The Privacy Act of 1974 requires that the Director of Recreation, Heritage, and Volunteer Resources staff and the Director of Lands, Minerals, and
Geology Management staff provide the following statements to individuals from whom they request information.
Authority: Collection of this information solicited on this form is authorized by the Organic Administration Act,16 U.S.C. 551.
Routine Uses: The information collected will be used by Forest Service officials to ensure that your use of National Forest System lands is administered in
accordance with applicable statutes, regulations, and directives. The information collected from you is retained in the Special Uses Data System (SUDS) and is
retrieved by the Forest Service create reports for the Agency’s Special Uses Program, generate bills for collection of land use fees for your authorization, monitor
compliance with your special use authorization, and other matters pertaining to administration of your special use authorization. SUDS is a component of the
Forest Service’s Natural Resources Manager database (NRM). A complete list of the routine uses of NRM can be found in the system of records notice
associated with this form, FS-24.
Disclosure: The submission of this information is required to obtain or retain benefits, specifically, a special use authorization.

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NONDISCRIMINATION STATEMENT
In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its agencies, offices, and
employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex,
disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights
activity, in any program or activity conducted or funded by USDA (not all bases apply to all
programs). Remedies and complaint filing deadlines vary by program or incident.

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Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language,
etc.) should contact the State or local Agency that administers the program or contact USDA through the Telecommunications Relay Service at 711 (voice and
TTY). Additionally, program information may be made available in languages other than English.
To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at How to File a Program
Discrimination Complaint and at any USDA office or write a letter addressed to USDA and provide in the letter all the information requested in the form. To request
a copy of the complaint form, call (866) 632-9992. Submit the completed form or letter to USDA by (1) mail: U.S. Department of Agriculture, Office of the Assistant
Secretary for Civil Rights, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: [email protected].

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USDA is an equal opportunity provider, employer, and lender.

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