Form 775p - Computer Systems And Certain Peripheral Components
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FORM
NEBRASKA SCHEDULE II – Computer Systems and Certain Peripheral Components
775P
• Use additional pages if necessary. Be sure to number each page in the space provided.
Schedule II
Project Name
Project Location
Date
Date Acquired
Net Book
Model
No. of
Make/Description
Peripheral
Environmentally
Nebraska
Model Number
Recovery Period
Depreciation
Net Book Value
Year
Items
(Lease date, if item is leased.)
Category
Controlled Area?
Adjusted Basis
Mo.
Day
Yr.
Factor
$
% $
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16 Total this page (if more than one page is used, total each page separately). Enter the total (of all pages) here and under Summary of
Schedule II on the Form 775P ......................................................................................................................................................................... 16 $
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PLEASE SEND A COPY OF THIS SCHEDULE TO EACH COUNTY ASSESSOR WHERE THE COMPUTER SYSTEMS AND CERTAIN PERIPHERAL COMPONENTS ARE LOCATED.
ATTACH THIS SCHEDULE TO FORM 775P.
Page _____ of _____
96-309-2011 Rev. 5-2012
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