U.S.

Department of Education Title VIII—Impact Aid

Section 8002 Exhibit B: Detailed Property Acquisition Data by Year

Applicant Name Applicant

County
(Local Educational Agency) Impact Aid Number

(A) (B) (C) (D) (E) (F)

Percentage that the
Number of acres of land Assessed valuation of all
Assessed valuation at the acquired property was of
acquired by the federal real property in the school
Date or year of federal time of the acquisition of all real property in the
government since 1938 district for the year in Remarks
acquisition of the property the property by the school district at the time
(eligible federal property which the property was
federal government the property was acquired
only) acquired
[ (C) divided by (D) ]

TOTALS

Approval Signature
This information is provided to substantiate the claim for the LEA named and Date
above for funding in accordance with provisions of Title VIII section 8002 for
the above-named federal fiscal year and school year. Approval Name
(Please type or print.)