Acquisition Monitoring Form

To obtain a lot or parcel of land to construct or place a dwelling on it for a program beneficiary.

Grantee:  	

Grant Number:  	

Prepared by:  	

Date Prepared:  	

Beneficiary Name:  	

Beneficiary Address (current):  	

		Comments	
Application and Documentation	
1.	
Address of acquired property:		
2.	
Parcel ID Number:		
3.	
Name & Address of owner:		

4.	

Property is (check one):	Occupied
Vacant/ROW/Easement
Rental - List Tenants:	

NOTE: If Acquisition is by voluntary negotiation, skip to Question 14	

5.	
For acquisition by URA, review and note the date of:	
Date	
	
a.   Notice of Interest or Intent to Acquire:		
	
b.   Attorney Settlement Statement (signed/dated)		

6.	
Is an appraisal in the file?	Yes	No		

If not, is there documentation of either of the following:	
□ The owner is donating the property and has waived the right to an appraisal.

□ The grantee has determined the valuation to e uncomplicated and the fair market value is estimated at $2,500 or less. If so, explain the method used by the grantee to reach this determination.

		

	
If yes, complete the following:	
Appraisal	
Review Appraisal	
	(i)   Name:			
	(ii)  Date:			
	(iii) Amount:			
	(iv) Did all appraisers invite the property
owner to accompany them during the inspection of the property?	Yes	No		
Just Compensation	

7.		Amount	Date	
	
a)   Amount of Just Compensation:			
	
b)   Initiation of Negotiations (initial written purchase offer with just compensation statement included):		
	
c)	Initial Written Offer:			
Negotiation/Purchase	

8.	
Owner accepted offer		

9.		Amount	Date	

Acquisition Price:			
	If excess compensation or determination not to acquire, provide details. Include all documents that justify excess compensation or the determination not to acquire, i.e. appraisals, recent court awards, estimated trial costs and valuation problems.	
Condemnation	

10.	If Acquisition is by condemnation, date condemnation proceeding instituted		

11.	If Acquisition is by condemnation, date estimated just compensation deposited with court		
12.	Title vested in agency		

13.	
Was the above required documentation delivered by:	Return Receipt
Requested Delivery
Hand Delivery with a signed receipt	

14.	
Complete only if acquisition is by voluntary negotiation:	
	a.   Describe the criteria for determining
the offer price for the property.		
	b.   Was the owner informed in writing
that the grantee would not acquire the property if negotiations failed to result in an amicable agreement? Is there documentation on file?		
	c.	Did the grantee inform the owner of
what it believed to be the fair market value of the property? Is there documentation in the file?		

NOTES:	

_______________________________________________	  ______________________
Grantee Representative				                            Date

______________________________________________	    _________________
Grant Management Representative				   Date