Form 150-553-004 - Confidential Personal Property Return - 2015
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42015
Confidential Personal Property Return
2015
(ORS 308.290)
Assessment of Business: Furniture, Fixtures, Equipment, Floating Property, and Leased or Rented Property
Filing Deadline is March 1, 2015
PENALTY—
Maximum penalty for late filing of personal property return is 50 percent of the
tax attributable to the taxable personal property. (ORS 308.296)
Clear this page
Account Number
Code Area
FOR ASSESSOR’S USE ONLY
1. Leased or Rented Property
2. Noninventory Supplies
3. Floating Property
4. Libraries
5. All Other Property
6.
7. Total Real Market Value
8. Late Filing Penalty
TAXPAYER’S DECLARATION
Make any name or mailing address corrections above.
Invalid if not signed. Under the penalties described in ORS 305.990(4),
This Return is Subject to Audit
I affirm that I have examined this return and all attachments. All
statements made are true. To the best of my knowledge, all taxable
Location of Personal Property on January 1, 2015.
personal property I own, possess, or control, which was in this county
File a separate return for each tax code area or location. Attach a separate listing if needed.
as of 1:00
.
., January 1 has been reported.
a
m
Name of firm/owner
Personal property location (street address, city)
E-mail address
Date business originated in county
Type of business
Assumed business name of firm assessed
Telephone no.
Was a return filed last year?
Yes County __________________
No
(
)
Mailing address
Fax no.
First Time Filer, see General Information No. 1
(
)
City
State
ZIP code
If your assessment was cancelled, see General Information No. 2
Signature of person responsible for return
Date
Remember to sign the Taxpayer’s Declaration at right
Invalid if not signed
No Personal Property to Report
(See General Information No. 3)
X
Business closed?
Moved out of county?
Printed name of person signing return
Title
Date closed:
Date moved:
Business sold?
New address:
Phone
Person completing return
Date of sale:
Name and address of new owner
(if business sold)
THIS RETURN IS BEING FILED FOR:
An Individual
A Partnership
(No. of persons ____)
A Corporation
A Limited Partnership
Check if we may not forward current property list to new owner.
No
A Limited Liability Company
A Limited Liability Partnership
Signature
Attach a separate list of names and addresses of each individual partner
X
for corporations, LLCs, LLPs, and partnerships.
(Attach separate sheet if necessary)
Multiple Locations Within This County
(See General Information, No. 6)
Business Name:______________________________________________ Business Location: ______________________________________________
Extension Number
______________________________
(See General Information, No. 5)
Logging Exemption in Previous Year
Logging Exemption in
______________________
County
(See General Information, No. 4)
Submit your original return and attachments to your county assessor. Keep a photocopy and the attached instructions for your records.
SCHEDULE 1— LEASED OR RENTED PERSONAL PROPERTY
(Do not report real property. Enter “None” if no personal property to report)
3
1
2
Payer of
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8
9
10
11
Name and Address of
Date
Length
Owner’s Opinion of
AMOUNT OF
Original Cost
Assessor’s
Taxes to County
Agree-
of
No.
LEASE/RENT
Market Value
Second Party Involved
Description
RMV
of
ment
Agree-
4
5
In Lease/Rent Agreement
(Include model year)
Each
Total
TOTAL
(leave blank)
Lessor Lessee
Month Yearly
Began
Units
ment
If Schedule 1 items are reported on separate attachments, check here:
Schedule 1 TOTAL:
(Include attachments)
Filing deadline for this return is March 1, 2015
150-553-004 (Rev. 10-14)
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