BUSINESS PERSONAL PROPERTY
IF ASSISTANCE NEEDED CALL
ACCOUNT NUMBER
TAX YEAR
SCHEDULE A
(FURNITURE / FIXTURES / MACHINERY / EQUIPMENT)
DUE DATE
MAP AND PARCEL I.D. NO.
NAICS NO.
THIS SCHEDULE IS CONSIDERED CONFIDENTIAL AND
WILL NOT BE OPEN FOR PUBLIC INSPECTION
RETURN COMPLETED FORM TO ADDRESS LISTED BELOW
TAXPAYER NAME AND ADDRESS
COUNTY NAME AND RETURN ADDRESS
DID YOU OR YOUR BUSINESS OWN ANY MACHINERY, EQUIPMENT,
BUSINESS PHYSICAL LOCATION
FURNITURE, OR FIXTURES ON JANUARY 1 OF THIS YEAR? YES ( )
NO ( ). IF YES, PLEASE LIST BELOW.
COMP
ADDITIONS OR
YEAR
PREVIOUSLY REPORTED
DISPOSALS OR
ADJUSTED ORIGINAL
INDICATED BASIC COST
+
=
-
=
X
CONV.
TRANSFERS IN
ACQUIRED
ORIGINAL COST NEW
TRANSFERS OUT
COST NEW
APPROACH VALUE
FACTOR
GROUP 1: TYPICAL ECONOMIC LIFE OF 5-7 YEARS (EXAMPLES ON INSTRUCTION SHEET) A.C.R.S./ M.A.C.R.S. NOT ACCEPTABLE
-
=
+
X
=
-
=
=
+
X
-
=
=
+
X
-
=
+
X
=
-
=
=
+
X
-
=
=
+
X
-
=
=
+
X
-
=
=
+
X
TOTAL
GROUP 1
GROUP 2: TYPICAL ECONOMIC LIFE OF 8-12 YEARS (EXAMPLES ON INSTRUCTION SHEET) A.C.R.S./ M.A.C.R.S. NOT ACCEPTABLE
+
-
X
=
=
+
-
=
X
=
+
-
=
X
=
+
-
X
=
=
+
-
=
X
=
+
-
X
=
=
+
-
X
=
=
+
-
=
=
X
+
-
X
=
=
+
-
=
X
=
+
-
=
=
X
+
-
X
=
=
TOTAL
GROUP 2
GROUP 3: TYPICAL ECONOMIC LIFE OF 13 YEARS OR MORE ( EXAMPLES ON INSTRUCTION SHEET ) A.C.R.S./ M.A.C.R.S. NOT ACCEPTABLE
+
-
=
=
X
+
-
=
=
X
+
=
-
=
X
+
-
=
=
X
+
=
-
=
X
+
=
-
=
X
+
-
=
=
X
+
=
-
=
X
+
-
=
=
X
+
-
=
=
X
+
=
-
=
X
+
-
=
=
X
=
+
-
=
X
+
=
-
=
X
+
-
=
=
X
+
=
-
=
X
+
=
-
=
X
TOTAL
GROUP 3
GROUP 4: TYPICAL ECONOMIC LIFE OF 1-4 YEARS; ALSO I.R.S. ASSET CLASS 00.12 I
) A.C.R.S./ M.A.C.R.S. NOT ACCEPTABLE
(EXAMPLES ON INSTRUCTION SHEET
-
+
=
=
X
-
+
=
=
X
-
+
=
=
X
-
+
=
=
X
TOTAL
GROUP 4
TOTAL
ALL GROUPS
ENTER TOTAL INDICATED VALUE ON PAGE ONE LINE F UNDER INDICATED VALUE FROM SCHEDULES COLUMN.