Form Pt-50m - Official Tax Matter Marine Personal Property Tax Return And Schedules Page 5

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LIST ADDITIONAL BOATS AND MOTORS AND FEDERAL DOCUMENTED VESSELS ON THIS PAGE
BOAT # 3
GEORGIA COUNTY WHERE BOAT IS FUNCTIONALLY LOCATED 184 DAYS A YEAR OR MORE ( LIST ) :
GA . REGISTRATION NO. BOAT #3 ( LIST ) :
MOTOR # 3
MFG. NAME: ( MAKE )
MFG. NAME: ( MAKE )
MODEL NAME OR #:
MODEL NAME OR #:
YEAR BUILT:
YEAR BUILT:
LENGTH:
HULL MATERIAL:
HORSEPOWER:
ELECTRIC START [ ] RECOIL [ ]
DATE PURCHASED:
PURCHASED: NEW [ ] USED [ ]
DATE PURCHASED:
COST: ( BOAT )
PURCHASED: NEW [ ] USED [ ]
COST: ( MOTOR ) :
TOTAL COST OF BOAT & MOTOR
:
(EXCLUDING TRAILER)
CHECK TYPE OF BOAT [ ] INBOARD [ ] OUTBOARD [ ] INBOARD/OUTBOARD [ ] SAILBOAT [ ] PONTOON
[ ] HOUSEBOAT [ ] JET BOAT
[ ] JET SKI [ ] OTHER ( LIST ) :
BOAT # 4
GEORGIA COUNTY WHERE BOAT IS FUNCTIONALLY LOCATED 184 DAYS A YEAR OR MORE ( LIST ) :
GA. REGISTRATION NO. BOAT #4 ( LIST ) :
MOTOR # 4
MFG. NAME: ( MAKE )
MFG. NAME: ( MAKE )
MODEL NAME OR #:
MODEL NAME OR #:
YEAR BUILT:
YEAR BUILT:
LENGTH:
HULL MATERIAL:
HORSEPOWER:
ELECTRIC START [ ] RECOIL [ ]
DATE PURCHASED:
PURCHASED: NEW [ ] USED [ ]
DATE PURCHASED:
COST: ( BOAT )
PURCHASED: NEW [ ] USED [ ]
COST: ( MOTOR ) :
TOTAL COST OF BOAT & MOTOR
:
(EXCLUDING TRAILER)
CHECK TYPE OF BOAT [ ] INBOARD [ ] OUTBOARD [ ] INBOARD/OUTBOARD [ ] SAILBOAT [ ] PONTOON
[ ] HOUSEBOAT [ ] JET BOAT
[ ] JET SKI [ ] OTHER ( LIST ) :
BOAT # 5
GEORGIA COUNTY WHERE BOAT IS FUNCTIONALLY LOCATED 184 DAYS A YEAR OR MORE ( LIST ) :
GA. REGISTRATION NO. BOAT #5 ( LIST ) :
MOTOR # 5
MFG. NAME: ( MAKE )
MFG. NAME: ( MAKE )
MODEL NAME OR #:
MODEL NAME OR #:
YEAR BUILT:
YEAR BUILT:
LENGTH:
HULL MATERIAL:
HORSEPOWER:
ELECTRIC START [ ] RECOIL [ ]
DATE PURCHASED:
PURCHASED: NEW [ ] USED [ ]
DATE PURCHASED:
COST: ( BOAT )
PURCHASED: NEW [ ] USED [ ]
COST: ( MOTOR ) :
TOTAL COST OF BOAT & MOTOR
:
(EXCLUDING TRAILER)
CHECK TYPE OF BOAT [ ] INBOARD [ ] OUTBOARD [ ] INBOARD/OUTBOARD [ ] SAILBOAT [ ] PONTOON
[ ] HOUSEBOAT [ ] JET BOAT
[ ] JET SKI [ ] OTHER ( LIST ) :
NAME OF PURCHASER: __________________________
Is there anything functionally wrong with your boat and motor? Yes( )
ADDRESS: _____________________________________
No(
). If yes, please provide the Board of Assessors with
CITY, STATE, ZIP: ________________________________
documentation in order for them to make a proper assessment.
DATE SOLD: ______________ SALE PRICE: _________
DESCRIPTION __________________________________
If you sold or traded your boat and motor and did not own
on January 1 this year, this section should be completed
in order for the items to be removed from your account.
NAME: _________________________________________
If purchased used this year, list the name and address of
ADDRESS: _____________________________________
the previous owner.
CITY, STATE, ZIP
FEDERAL DOCUMENTED VESSEL #2
TYPE AND USE OF VESSEL: _____________________________________________________________________________
VESSEL NAME: _____________________ LENGTH: _________ YEAR BUILT: ___________ HULL MATERIAL: __________
HORSEPOWER AND TYPE OF ENGINE: _______________________
COAST GUARD NUMBER: ____________________
YEAR PURCHASED: ____________ PURCHASED: NEW [ ] USED [ ]
AMOUNT OF PURCHASE: __________________
HOME PORT: ________________________________________ WHERE DOCKED: _________________________________
BOAT AND MOTOR ACCESSORY EQUIPMENT (LIST):_________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
PAGE 4

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