Form L-4175 - Personal Property Statement - 2015 Page 2

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Form 632, Page 2
INSTRUCTIONS. Read carefully to obtain directions for the allocation of your personal property to Sections A - N.
All Tangible Personal Property in your possession at this location, including fully depreciated and expensed assets, must be reported in one of the A
through N Sections of this form. If you had "Move-Ins" of used property, you must also complete Form 3966, 2015 Taxpayer Report of Personal Property
"Move-Ins" of Used Equipment Occurring During 2014. Please see Form 3966 for additional instructions regarding Move-Ins.
Did you have "move-ins"?
Yes
No
SECTION A:
Assessor
SECTION D: Including Office, Electronic,
Assessor
Including Furniture and Fixtures
Calculations
Video and Testing Equipment
Calculations
2014
.91
2014
.84
2013
.80
2013
.64
2012
.69
2012
.55
2011
.61
2011
.49
2010
.53
2010
.44
2009
.47
2009
.41
2008
.42
2008
.38
2007
.37
2007
.35
2006
.33
2006
.33
2005
.29
2005
.31
2004
.27
2004
.29
2003
.24
2003
.28
2002
.22
2002
.26
2001
.19
2001
.25
2000
.12
.17
2000
Prior
.12
Prior
.17
TOTALS
A1
A2
TOTALS
D1
D2
SECTION B:
Assessor
SECTION E: Including Consumer
Assessor
Including Machinery and Equipment
Calculations
Coin Operated Equipment
Calculations
2014
.89
2014
.92
2013
.76
2013
.85
.67
.77
2012
2012
2011
.60
2011
.69
2010
.54
2010
.61
2009
.49
2009
.54
.45
.46
2008
2008
2007
.42
2007
.38
2006
.38
2006
.30
2005
.36
2005
.23
2004
.33
2004
.15
2003
.31
Prior
.15
2002
.29
TOTALS
E1
E2
2001
.28
2000
.23
SECTION F:
Assessor
Prior
.23
Including Computer Equipment
Calculations
TOTALS
2014
.60
B1
B2
2013
.44
SECTION C:
Assessor
2012
.32
Including Rental Videotapes and Games
Calculations
2011
.24
.76
2014
2010
.19
.53
2013
2009
.15
.29
2012
2008
.08
.05
2011
Prior
.08
.05
Prior
TOTALS
F1
F2
TOTALS
C1
C2
TRUE CASH VALUE GRAND TOTAL (for page 2)
COST GRAND TOTAL (for page 2)
ASSESSOR: Add True Cash Value totals
TAXPAYER: Add totals from cost columns
from Sections A-F (A2-F2). Enter grand
$
of Sections A-F (A1-F1). Enter grand total
total here and carry to line 8b, page 1.
$
here and carry to line 8a, page 1.

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