Commercial Personal Property Rendition Form

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ACD Commercial Personal Property Rendition Form
PPAN # On Each Page
(Optional Bar Code)
COMMERCIAL PERSONAL PROPERTY RENDITION FORM (A)
_______________________County, Arkansas 20______
Information reported on this form is required by Arkansas State law and is subject to audit by the County Assessor and the State of Arkansas. Sign and return this form to the
county assessor's office postmarked by May 31 to avoid a 10% late penalty. Instructions and statutory provisions regarding the assessment of your commercial personal
property can be found at:
If any additional assistance is needed please contact:
County Assessor's Name and/or Office
Address
Phone
Fax(optional)
Email (optional)
Business Information
Owner Information
Business Name
PPAN #
Business Type
Owner ID #
Business Physical Address
Owner Name
Owner Mailing Address
Business Owner
Business Contact Person
Owner Phone Number
Business Phone Number
School District
Business Fax Number
Business E-mail Address
Real Estate Parcel #
SECTION A: Applicable only if Business has closed, relocated or seasonal
DATE BUSINESS CLOSED:________________________________ OWNER'S SIGNATURE:________________________________________
DATE BUSINESS RELOCATED:____________________________ BUSINESS NEW LOCATION:___________________________________
IF BUSINESS IS SEASONAL, PROVIDE THE MONTHS OF OPERATION:_______________________________________________________
SECTION B: VEHICLES
Please list below or attach an itemized list of information regarding all vehicles owned by your business, including non-licensed.
This also includes: aircraft, boats, motors, trailers, RV's, 4 wheelers, and etc.
(Note: A copy of the bill of sale and/or title is required when assessing newly purchased assets.)
YEAR
MAKE
MODEL
STYLE
VIN #
PURCHASE PRICE

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