Application for Approval to Advance Real Property Transactions For State Operated Campuses Section I: Basic Information (Required) Total current state owned acreage of campus: Campus Name: Address: Section II: Type of Real Property Transaction (Required) A. Purchase of real property (Complete Sections III, IV & X) B. Abandonment of real property (Complete Sections III, V & X) < $1 million > $1 million < 20 acres and < 10% total campus acreage > 20 acres or > 10% total campus acreage C. Utility, highway improvement, telecommunications or other easements (Complete Sections III, VI & X) D. Transfer of real property to a State agency (Complete Sections III, VII & X) < 20 acres and < 10% total campus acreage > 20 acres or > 10% total campus acreage E. Transfer of jurisdiction of real property of a State entity to the campus (Complete Sections III, VIII & X) F. Gift acceptance of real property to System Administration or to the University (Complete Sections III, IX & X) G. Gift acceptance of real property to a campus (Complete Sections III, IX & X) H. All other real property transactions (Complete Section III & X) Explanation of real property transaction: Section III: Basic Information of Real Property Transaction (Required) 1. Purpose of real property transaction: 2. Acreage effected in real property transaction: (***If greater than 20 acres or 10% of total campus acreage, Board Approval is required) 3. Approximate value of real property transaction: 4. Approximate SUNY annual operational/maintenance/renovation costs: 5. Approximate SUNY annual operational/maintenance savings (if applicable): Application for Approval to Advance Real Property Transactions For State Operated Campuses Section IV: Purchase of Real Property 6. 7. 8. 9. 10. 11. Purchase price of real property: Seller: Appraised value of proposed property: Name of appraiser(s): Date of appraisal(s): Proposed use after acquisition: 12. Source of funds: Section V: Abandonment Sale of Real Property 14a. % of property proposed to be abandoned: 0% 14b. Anticipated sale price: 13. Acreage proposed to be abandoned: (***If greater than 20 acres or 10% of total campus acreage, Board Approval is required) 15. Buyer: 16. Application of proceeds: 17. SUNY use of real property prior to proposed abandonment: Section VI: Grant utility, highway improvement, telecommunications or other easements 18. Type of proposed easement : Utility Highway Improvement Other Telecommunications 19. Grantee: 20. Compensation to SUNY (if any): Section VII: Transfer to a State agency 21. Name of State Agency to which property is being transferred: 22. Acreage proposed to be transferred: 23. % of property proposed to be transferred: 0% (***If greater than 20 acres or 10% of total campus acreage, Board Approval is required) 24. SUNY use of real property prior to proposed transfer: Section VIII: Transfer to SUNY 25. Name of State Agency transferring to SUNY: 26. SUNY use of real property after proposed transfer: Application for Approval to Advance Real Property Transactions For State Operated Campuses Section IX: Gift Acceptance of Real Property University 27. Property gifted to: 28. Name of donor (if given): 29. Proposed use of property: System Administration Campus Section X: Authorization to Progress to the Contract Stage Submitted by [campus]: (For types A-H) Name: Title: Date: Reviewed by [campus counsel]: (For types A-H) Name: Title: Date: Signature: ______________________________ Signature: ______________________________ Approved by: SUNY System Administration (For types A-H) Name: Title: Date: Reviewed and Approved by Chief Financial Officer: (For types F and G) Name: Date: Signature: ______________________________ Signature: _______________________________ Board Approval Required: Submit to: Yes No Robert Haelen Vice Chancellor for Capital Facilities State University of New York 353 Broadway Room N307 Albany, NY 12246 [email protected] Date of Board Approval:
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