GSA3169

Reconciliation of Sale of Government-Owned Personal Property

Agency
GSA
Revision
Rev. 7/1995
Fillable fields
32
Pages
1
Official source
GSA form page
Checked
October 20, 2026
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Page 1 of form GSA3169

GSA Form 3169: Reconciliation of Sale of Government-Owned Personal Property

GSA Form 3169, Reconciliation of Sale of Government-Owned Personal Property, is a General Services Administration form, REV. 7-95 in its footer, prescribed by FSS P 4055.11. GSA hosts it in its forms library.

The form records one sale by region, sale number, sale date and location, then sets out its totals from three sources: the receipts collected and the uncollected GSA Forms 27/27A, the amounts shown on GSA Forms 27/27A, and the recorder's copy of the sale. A collection officer, a sales contracting officer or designee and an independent person each sign for their figures.

The sales contracting officer certifies whether the totals in blocks 6, 10, and 13 match and whether the total proceeds on the receipted GSA Form 3594 returned by Finance Division are correct. The sales manager signs the final review. You can fill it out free in your browser on this page and download the result without an account.

Top of page 1 of GSA Form 3169: Reconciliation of Sale of Government-Owned Personal Property, as printed by GSA

What's on GSA Form 3169

Blocks 1 to 4: the sale

Region, sale number, sale date and location.

Blocks 5 to 8: receipts

Total receipts collected, the number of uncollected GSA Forms 27/27A and their total amounts, block 6 total of sale (5a + 5c), and the collection officer's signature and date.

Blocks 9 to 12: GSA Forms 27/27A

Total amounts from collected GSA Forms 27/27A, the number of uncollected forms and their total amounts, block 10 total of sale (9a + 9c), and the signature of the sales contracting officer or designee.

Blocks 13 to 15: recorder's copy

The total amount of sale from the recorder's copy of sale, with the signature of an independent person and the date.

Blocks 16 to 22: reconciliation and review

Whether the totals in blocks 6, 10, and 13 match or do not match, action taken, total proceeds as shown on the receipted GSA Form 3594 returned by Finance Division, whether the totals are correct or incorrect, action taken, and the sales contracting officer's signature and date.

Blocks 23 to 26: final review and remarks

Action taken, the sales manager's signature and date, and a remarks block.

How to complete GSA Form 3169

  1. 1

    Identify the sale

    Enter the region, sale number, sale date and location in blocks 1 to 4.

  2. 2

    Total the receipts

    Fill in blocks 5a to 5c and the total of sale in block 6, which the form labels 5a + 5c. The collection officer signs block 7 and dates block 8.

  3. 3

    Total the GSA Forms 27/27A

    Fill in blocks 9a to 9c and the total of sale in block 10, labeled 9a + 9c. The sales contracting officer or designee signs block 11 and dates block 12.

  4. 4

    Add the recorder's total

    Enter the total amount of sale from the recorder's copy of sale in block 13. An independent person signs block 14 and dates block 15.

  5. 5

    Reconcile and review

    The sales contracting officer marks whether the totals in blocks 6, 10, and 13 match, records the action taken, enters the total proceeds from the receipted GSA Form 3594, marks the totals correct or incorrect, records the action taken and signs block 21.

  6. 6

    Final review

    The sales manager records the action taken in block 23, signs block 24 and dates block 25. Block 26 holds any remarks.

The form prints no separate instructions. These steps follow its blocks in order.

Why fill Form GSA3169 on indox

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Where it goes and what the form says

Where it goes

The form prints no address, recipient or due date. It ends with the certification of final review by the sales manager and a remarks block.

Prescribing directive

The footer says the form is prescribed by FSS P 4055.11.

Forms it refers to

GSA Forms 27/27A, counted as collected and uncollected, and the receipted GSA Form 3594 returned by Finance Division covering the sale.

Amounts

Several blocks take dollar amounts and counts of forms. The form prints no amounts of its own.

Who fills out GSA Form 3169?

  • Collection officer

    Signs block 7, below the receipts in blocks 5 and 6, and dates block 8.

  • Sales contracting officer or designee

    Signs block 11, below the amounts shown on GSA Forms 27/27A in blocks 9 and 10, and dates block 12.

  • Independent person

    Signs block 14, below the total amount of sale from the recorder's copy of sale in block 13, and dates block 15.

  • Sales contracting officer, certification

    Signs block 21 under the Certification of Reconciliation and Review by the Sales Contracting Officer, and dates block 22.

  • Sales manager

    Signs block 24 under the Certification of Final Review by Sales Manager, after recording the action taken in block 23.

The form has five signature blocks, each for a named role.

Official sources and the blank

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Questions about Form GSA3169

Who issues GSA Form 3169?

The footer prints GENERAL SERVICES ADMINISTRATION, GSA FORM 3169 (REV. 7-95) and Prescribed by FSS P 4055.11. GSA hosts it in its forms library.

Who signs GSA Form 3169?

The collection officer, the sales contracting officer or designee, an independent person, the sales contracting officer again for the certification of reconciliation and review, and the sales manager for the final review.

Which totals does the form compare?

Block 16 asks whether the totals shown in blocks 6, 10, and 13 match or do not match. Block 19 asks whether the totals are correct or incorrect against block 18, the total proceeds on the receipted GSA Form 3594.

How are the totals in blocks 6 and 10 worked out?

The form labels block 6 as 5a + 5c and block 10 as 9a + 9c.

Where does the GSA Form 3594 figure come from?

Block 18 asks for the total proceeds as shown on receipted GSA Form 3594 and returned by Finance Division covering this sale.

Does the form say where to send it?

No. The downloaded PDF prints no address, recipient or instructions beyond its labeled blocks.