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REAL PROPERTY INVENTORY Date: (Date form completed) (1) State Entity: (Board, bureau, commission, depart- ment, official, or other agency) (2) Grantor: (Exactly as it appears on instrument) (3) Grantee: (Exactly as it appears on instrument) (4) Date of instrument: (5) Acreage: (6) Records, office of the clerk, Superior Court County (a) Deed Book Folio (b) Plat or Map Book Folio (7) Location of property: County City Street address, if applicable, and if not, brief directions to property (8) Type of instrument: (a) Warranty deed ( ), (b) Quitclaim deed ( ), (c) Eminent domain, deed executed ( ), (d) Trustee’s deed ( ), (e) Administrator’s or Executor’s deed ( ), (f) Simple deed, no warranty ( ), (g) Lease ( ), (h) Use permit ( ), (i) Resolution of General Assembly ( ), (j) Deed of gift ( ). (9) Kind of conveyance: (a) Fee simple ( ), (b) Other ( ), state terms and conditions (10) If acquired by eminent domain by court order and no deed was executed: (a) Name of principal defendant , (b) Case number , (c) Date of final judgment (11) Location of original deed (12) Is property surplus? (13) Purchase price of property (14) Purchased with (a) State funds? , (b) Federal funds? (Show percent state & federal) (15) Estimated present value: (a) Land (b) Improvements (16) Insured for: $ with Ins. Co. (17) Present use Name of person completing form Title Signature
History. Code 1933, § 91-402a, enacted by Ga. L. 1970, p. 672, § 1; Ga. L. 2005, p. 100, § 15/SB 158.