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_. ~ <br />Oregon Departmenf of Transportation RELOCATION <br />SUBSTITUTE PERSONAL PROPERTY CLAIM <br />Pay To: <br />Mailing Address <br />ClaimanYs Name <br />Telephone Number: f .. <br />Agenfs Signature <br />If an item of personal property which is used as part of a business or farm operation is <br />not moved but is promptly replaced with a substitute item that performs a comparable <br />function at the replacement site, the payment will consist of the lesser of: <br />A: The cost of the substitute item, including installation costs at the replacement <br />site, minus any proceeds from the sale or trade-in of the replaced item; or <br />B: The estimated cost of moving and reinstalling the replaced item but with no <br />allowance for storage. <br />My claim is based on the following: <br />Items: <br />A. Replacement Cost, ~including installation, less net proceeds of sale, or trade-in <br />allowance (Attach documentation) A. ~ <br />B. State's estimated cost of moving (Attach estimates) g, S <br />Amount Claimed (lesser of A or B) $ <br />Claimanfs Signature <br />Amount Approvea E.A. <br />File No. <br />Name <br />Section <br />Highway <br />County <br />FAP No. <br />Date <br />Reviewe~s Signature <br />Date <br />Form 207 (11/95) SUBSTITUTE PERSONAL PROPERTY CLAIM <br />