Did you timely apply for a September 1 inventory date? (Optional)
Yes
No
Account Number:
Does your inventory involve interstate/foreign commerce? (Optional)
Yes
No
Does your inventory involve freeport goods? (Optional)
Yes
No
Owner Name:
For each Part below you may attach additional sheets if necessary, identified by business name, account number, and "Part".
Part 7. Inventory, Raw Materials, Work in Process and Supplies:
List all taxable property by type.
Property Address or Address Where
Property Owner Name/Address
Estimate
Good Faith
Historical
Year
OR
AND
Taxable (if different from page 1)
(if you manage or control property
Assets Type/Category
Description
of Quantity
Estimate of
Cost When
Acquired
as a fiduciary)
Market Value
New**
**
A. Inventory
B. Raw Materials
C. Work in Process
D. Supplies
Part 8. Furniture, Fixtures, Machinery, Equipment, Computers:
Total all new or used furniture, fixtures, machinery, equipment and computers still in possession on January 1.
F. Computers:
G. Miscellaneous
Describe Miscellaneous Assets
C. Mobile Radio,
D. All other
E. Computers:
Mainframes
(signs, rental
(from column G)
Assets Type/Category
A. Furniture &
B. Office Machines
Telephone, PBX,
Machinery &
PCs, Servers &
inventory, etc.)
Fixtures
Cell Phone, Fax
Equipment
Peripherals
Good Faith Estimate of
Market Value*
2002 & Prior
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
COST TOTALS
Part 9. Property Under Bailment, Lease, Consignment or Other Arrangement:
Property Owner's Name
Property Owner's Address
General Property Description
Page 2
* If you provide an amount in the "good faith estimate of market value", you need not complete "historical cost when new" and "year acquired."
** If you provide an amount in the "historical cost when new" and "year acquired", you need not complete "good faith estimate of market value."