Iowa Admin. Code r. 221-7.4
In order to take title pursuant to this chapter, a museum and a lender must comply with the provisions of Iowa Code sections 305B.10 to 305B.12.
FORM 1
NOTICE OF INJURY TO OR LOSS OF PROPERTY ON LOAN
Museum/Institution_____________________________________________________________________
Contact Person_________________________________________________________________________
Address_______________________________________________________________________________
Phone___________________________________________Date of Notice_________________________
Lender/Claimant________________________________________________________________________
Address (last known)____________________________________________________________________
Phone_________________________________________________________________________________
In accordance with Iowa Code chapter 305B, the Museum Property Act, the above named institution hereby officially informs you of injury to or loss of the property on loan that is identified and described below.
Description of Property__________________________________________________________________
Institutional Identification of Loan_________________________________________________________
Original Date of Loan_______________________________________Term of Loan________________
Condition of Property at Time Loan was Initiated_____________________________________________
Description and Cause of Damage_________________________________________________________
Action by Institution____________________________________________________________________
Date of Action_________________________________________________________________________
Signed for the Institution_________________________________________________________________
Type/print name and title_________________________________________________________________
Address_______________________________________________________________________________
Phone_________________________________________________________________________________
Date__________________________________________________________________________________
TO BE COMPLETED BY THE LENDER OR CLAIMANT: I acknowledge receipt of the "Notice of Injury or Loss of Property on Loan" for the property identified above.
Signature______________________________________________________________________________
Type/print name________________________________________________________________________
Address_______________________________________________________________________________
Phone_________________________________________________________________________________
RETURN TO INSTITUTIONAL CONTACT PERSON LISTED ABOVE.
Date completed form received by Museum__________________________________________________
Signature of person receiving returned form_________________________________________________
FORM 2
NOTICE TO CONSERVE LOANED PROPERTY
Museum/Institution_____________________________________________________________________
Contact Person_________________________________________________________________________
Address_______________________________________________________________________________
Phone___________________________________________Date of Notice_________________________
Lender/Claimant________________________________________________________________________
Address_______________________________________________________________________________
Phone_________________________________________
In accordance with Iowa Code chapter 305B the above named institution hereby officially informs you of conservation activity that shall be undertaken on the property on loan that is identified and described below.
Description of property__________________________________________________________________
Institutional Identification of Loan_________________________________________________________
Original Date of Loan___________________________________________________________________
Condition of Property at Time Loan was Initiated_____________________________________________
Conservation Action to be taken by the Institution____________________________________________
Date of Action_________________________________________________________________________
Signed for the Institution_________________________________________________________________
Type/Print Name and Title________________________________________________________________
Address_______________________________________________________________________________
Phone_________________________________________
Date__________________________________________
TO BE COMPLETED BY THE LENDER OR CLAIMANT: I acknowledge receipt of the "Notice to Conserve Loaned Property" for the property identified above.
Signature______________________________________________________________________________
Type/Print Name________________________________________________________________________
Address_______________________________________________________________________________
Phone_________________________________________
RETURN TO INSTITUTIONAL CONTACT PERSON LISTED ABOVE.
Date completed form received by Museum__________________________________________________
Signature of person receiving return form___________________________________________________
FORM 3
NOTICE OF INTENT TO TERMINATE A LOAN
Museum/Institution_____________________________________________________________________
Contact Person_________________________________________________________________________
Address_______________________________________________________________________________
Phone___________________________________________Date of Notice_________________________
Lender/Claimant________________________________________________________________________
Address (last known)____________________________________________________________________
Phone_________________________________________________________________________________
Museum Registration/Identification No(s) of Loan(s)__________________________________________
Original Date of Loan___________________________________________________________________
Terms of Loan__________________________________________________________________________
Description of Property__________________________________________________________________
The records of_____________________________________(Museum name) indicate that you currently
have the above property on loan to it. The institution wishes to terminate the loan. You must contact the institution, establish your ownership of the property pursuant to section 305B.8, and make arrangements to collect the property. If you fail to do so promptly, you will be considered to have donated the property to the institution. You must complete and return the enclosed "Notice of Intent to Preserve an Interest in Property on Loan" within one year from the date of this notice, and make arrangements to collect the property within that time period, or your interests will automatically be terminated, and this institution will acquire title to the property, according to the provisions of Iowa Code chapter 305B.
For the institution______________________________________Date___________________
Signature Address_______________________________________________________________________________
ATTACHED: Notice of Intent to Preserve an Interest in Property on Loan.
FORM 4
NOTICE OF INTENT TO PRESERVE AN INTEREST IN PROPERTY ON LOAN
TO LENDER OR CLAIMANT - Iowa Code chapter 305B requires you to notify this institution promptly in writing of any change of address or ownership of property on loan to a museum. If the museum is unable to contact you regarding your loan, you may lose rights to loaned property. If you want to maintain your rights to the property identified below, complete and return this form. If you do not return this notice of intent within one year from the date of the notice, your interests automatically will be terminated; the museum will acquire title to the property.
Museum/Institution_____________________________________________________________________
Contact Person_________________________________________________________________________
Address_______________________________________________________________________________
Phone___________________________________________Date of Notice_________________________
Lender/Claimant________________________________________________________________________
Address (last known)____________________________________________________________________
Phone_________________________________________________________________________________
Museum Registration/Identification No(s) of Loan____________________________________________
Description of Property (Attach an accurate, legible copy of the loan receipt, any materials documenting the loan, or provide a detailed description of the claimed property, including its general characteristics, identification number(s), and distinguishing characteristics.)
Original Date of Loan___________________________________________________________________
Terms of Loan__________________________________________________________________________
Interest in Property (If you are not the original lender, describe the origin and nature of your interest in the property. Attach copies of documents supporting your interest sufficient to establish ownership of the property.)
TO THE INSTITUTION - I hereby notify the above named institution that I claim an interest in the property described in the Notice of the Intent to Terminate a Loan (Form 3).
I understand that I must make arrangements with the institution to retrieve said property within one year of the date of this notice or title to the property shall revert to the institution.
I understand that I must promptly notify the institution in writing of any changes in address or ownership of the property.
I declare under penalty of perjury that to the best of my knowledge that the information contained in this notice is true.
Signed______________________________________Date_________________________
Claimant
OR
I declare under penalty of perjury that I am authorized to act on behalf of the claimant. I am informed and believe the information contained in this notice to be true.
Signed______________________________________Date_________________________
Claimant's representative
Please Type/Print
Name of claimant_______________________________________________________________________
Address_______________________________________________________________________________
Phone_________________________________________
Name of claimant's representative_________________________________________________________
Address_______________________________________________________________________________
Phone_________________________________________________________________________________
...........................Institutional Use...........................
Notice Received by__________________________________________________
Date Received______________________________________________________
Receipt Returned by_________________________________________________
Date Returned______________________________________________________
Iowa Admin. Code r. 221-7.4