Form L-4175 - Personal Property Statement - 2015 Page 4
Download a blank fillable Form L-4175 - Personal Property Statement - 2015 in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form L-4175 - Personal Property Statement - 2015 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4Form 632, Page 4
SECTION L - Detail of Leases (This Section is Completed by Leasing Companies)
Equipment that you lease to others should be reported under this section. Notice: You must also complete Sections A - F on Page 2.
See instructions. You may use attachments in lieu of completing this section if the attachments contain the information requested
below, in the same format, and if you complete the Tables on Page 2. Attach additional sheets, if necessary.
Are you a manufacturer of equipment?
Yes
No
Location of
Type of
Lease
Monthly
1st Year
Manufacturer
Original
Lease No.
Name & Address of Lessee
Equipment
Equipment
Period (Mo.)
Rental
in Service
Cost
Selling Price
Total Original Selling Price
SECTION M - Leasehold Improvements
All Leasehold Improvements made at your place of business should be reported under this section, even if you believe that the
improvements are not subject to assessment as Personal Property. Provide as much detail as possible so that the assessor can
determine whether an assessment should be made. You may attach additional explanations and/or copies of "fixed asset" records, if
the documents attached provide all of the information requested below and if you insert the total original cost in "Total Cost Incurred"
below. Trade fixtures and installation costs of machinery and equipment must be reported in Sections A through I. See Instructions.
Any Personal Property reported in this section should not be reported elsewhere on Form L-4175.
STC
True Cash Value
Year Installed
Description (Describe in detail)
Original Cost
Multiplier
Assessor's Calculation
M1
M2
Total Cost Incurred
SECTION N - Buildings and Other Structures on Leased or Public Land and All Freestanding Signs and Billboards
Costs of Freestanding Communications Towers and Equipment Buildings at Tower sites (unless reported on Form 4452), and Costs of
Freestanding Signs and Billboards must also be reported under this Section. Any Personal Property reported in this section should not
be reported elsewhere on Form L-4175. Attach additional sheets, if necessary.
Check this box if you believe that these structures are already assessed as part of the real property.
Year Originally
Total Capitalized
True Cash Value
*
Address or Location of Building
Built
Cost
Assessor's Calculation
N1
N2
Total Capitalized Cost
SECTION O - Rental Information. See Instructions. (Attach additional sheets, if necessary.)
IF YOU ARE THE TENANT
Name and address of landlord __________________________________________________________________________________
Is your landlord the owner of the property?
Yes
No
If you are a sublessee, enter the name and address of the owner
of the property _______________________________________________________________________________________________
IF YOU ARE THE LANDLORD
Name and address of tenant ___________________________________________________________________________________
Are you the owner of the property?
Yes
No
If you are a sublessor, enter the name and address of the owner of
the property ________________________________________________________________________________________________
TO BE COMPLETED REGARDLESS OF WHETHER YOU ARE THE LANDLORD OR TENANT
Address of property rented or leased ____________________________________________________________________________
Date that current lease or rental arrangement started ________________.
Date current lease will expire, if other than a month to month tenancy ________________. Monthly rental $____________________
Are there options to renew the lease?
Yes
No
Expenses (e.g. taxes, electric, gas, etc.) paid by the tenant ___________________________________________________________
Square feet of space occupied by the tenant ___________________
Assessor Value
O2
COST GRAND TOTAL (for page 4)
TRUE CASH VALUE GRAND TOTAL (for page 4)
TAXPAYER: Add Total Cost Incurred from
Section M and Total Capitalized Cost from
ASSESSOR: Add True Cash Value totals
Section N (M1 and N1). Enter grand total
from Sections M-O (M2-O2). Enter grand
$
$
here and carry to line 10a, page 1.
total here and carry to line 10b, page 1.
* Note to Assessor: Certain buildings and structures on leased land (but not including freestanding signs and
billboards) must be assessed on the real property roll. See Bulletin 1 of 2003.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial