Form 633 - Distribution Personal Property Statement - 2009
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Michigan Department of Treasury
This form is under authority of P.A. 206 of 1893, as amended. Filing is
2009
633 (Rev. 9-08)
mandatory. Failure to file is punishable by fine and/or imprisonment, as stated by
law. Any questions or comments regarding this statement should be directed to
Distribution Personal Property Statement
the State Tax Commission prior to the Board of Review meeting held in March.
Electric Distribution Cooperative
As of December 31, _________
Name of Cooperative
Parcel Number
Area Code and Telephone Number
(
)
Address (Number and Street, P.O. Box, City, State, ZIP Code)
School District Name and Code
City
Township
County
Assessing
Unit
A
B
C
Miles
Average Cost from Schedule 1A
Estimated Original Cost
1. Miles of Line Single Phase
__________________________x $ ________________________ = $ _________________________
2. Miles of Line Two Phase
__________________________x $ ________________________ = $ _________________________
3. Miles of Line Three Phase
__________________________x $ ________________________ = $ _________________________
4. Number of Services
including Idle and Seasonal
__________________________x $ ________________________ = $ _________________________
5. ______________________
__________________________x $ ________________________ = $ _________________________
6. ______________________
__________________________x $ ________________________ = $ _________________________
7. TOTAL (Add lines 1 thru 6)
$ _________________________
8. Percent Condition Factor (Schedule 1, Column F, Totals line)
_________________________
9. Depreciated Average Cost (line 7 X line 8)
_________________________
10. Other Taxable Distribution Personal Property (See attached schedule)
_________________________
11. TOTAL (Add lines 9 and 10)
_________________________
12. System Economic Factor
_________________________
13. True Cash Value (line 11 X line 12)
_________________________
14. Assessed Value (50% of True Cash Value)
_________________________
Did you have in your possession in this assessing unit on December 31, ___________ tangible distribution personal
property belonging to others, including governmental units, which is not reported above?
Yes*
No
*If Yes, attach a rider showing the name and addresses of the owners and the description of the property on lease, rental, loan, etc. If you are leasing or
purchasing distribution personal property under a lease purchase contract, include that property on line 10 above.
The undersigned certifies that he/she is an owner, officer and/or the duly authorized agent for the above named taxpayer and that the above
summary, with its supporting documents, provides a full and true statement of all tangible distribution personal property owned or held by the
taxpayer at the locations listed above on December 31, 2008.
Signature of Certifier
Date
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