<p> UNIVERSITY OF MAINE SYSTEM</p><p>REAL ESTATE ACQUISITIONS & DISPOSITIONS</p><p>REQUEST/APPROVAL FORM</p><p>CAMPUS PROPERTY ADDRESS (street address with number)</p><p>CITY STATE ZIP GRANTOR NAME(S) GRANTEE NAME(S) </p><p>PURCHASE PRICE OR VALUE – IF GIFT $ </p><p>LAND AREA acres BUILDING AREA sq ft</p><p>ENVIRONMENTAL ASSESSMENT COMPLETED? YES NO Attach copy of Assessment</p><p>SITE PLAN AND/OR FLOOR PLAN REVIEWED? YES NO Attach a copy of plan(s)</p><p>TYPE OF TRANSFER DOCUMENT (warranty deed, quitclaim deed, easement, bequest, etc.)</p><p>ESTIMATED DATE OF TRANSFER </p><p>TAX MAP AND LOT </p><p>COMMENTS AND JUSTIFICATION FOR TRANSACTION</p><p>APPROVALS</p><p>Campus CFO Date: </p><p>UMS Risk Manager Date: </p><p>UMS Director of Facilities Date: </p><p>University Counsel Date: </p><p> r03/2007</p>