Leasing Or Rental Tangible Personal Property Form - City Of Greenville Page 2

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SCHEDULE OF LOCATIONS
_____________________________________________________________________________________________________________________
Trade name
Street Address
Total Gross
Deductions
Total Amount
or Branch No.
or Mailing
Proceeds For
Claimed
Remaining as
the Period
(Listed Below)
Measure of
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
TOTALS ________________________________________________
OTHER ALLOWABLE DEDUCTIONS & EXCLUSIONS
_____________________________________________________________________________________________________________________
Customer Account Number
Customer Name
Address
Total of Customer
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
TOTAL AMOUNT OF
DEDUCTIONS CLAIMED __________________________________
CITY OF GREENVILLE
P.O. BOX 158
GREENVILLE, AL. 36037
1-334-382-2647

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