2008 Business Property Listing Form - Wake County Revenue Department Page 2

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2008 BUSINESS PROPERTY LISTING
WAKE COUNTY REVENUE DEPARTMENT
300 S. SALISBURY STREET
Due by: January 31, 2008
P.O. BOX 2331
RALEIGH, NORTH CAROLINA 27602-2331
Tel (919) 856-5400
D
PROPERTY OWNED BY OTHERS IN POSSESSION OF TAXPAYER (ATTACH SCHEDULE IF NECESSARY)
IF LEASE HAS BEEN CAPITALIZED, SO INDICATE
Owner/Lessor
Equipment Information
Name:
______________________________
Equipment Description:
____________________________________________
Mailing Address: ______________________________
Selling Price New:
____________________________________________
City, State, Zip: ______________________________
Date of Lease:
__________________
Annual Rent: ____________
Telephone:
______________________________
Length of Lease:
__________________
Ending Date: ____________
Lease Account #: ______________________________
Name:
______________________________
Equipment Description:
____________________________________________
Mailing Address: ______________________________
Selling Price New:
____________________________________________
City, State, Zip: ______________________________
Date of Lease:
__________________
Annual Rent: ____________
Telephone:
______________________________
Length of Lease:
__________________
Ending Date: ____________
Lease Account #: ______________________________
Name:
______________________________
Equipment Description:
____________________________________________
Mailing Address: ______________________________
Selling Price New:
____________________________________________
City, State, Zip: ______________________________
Date of Lease:
__________________
Annual Rent: ____________
Telephone:
______________________________
Length of Lease:
__________________
Ending Date: ____________
Lease Account #: ______________________________
E
LEASEHOLD IMPROVEMENTS (ATTACH SCHEDULE IF NECESSARY)
Total Cost of All Leasehold Improvements Made in 2007: $_____________
Location of Improvements: __________________________
Detailed Description and Cost of Each Improvement:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
F
OTHER COUNTIES
List All North Carolina Counties in Which You File Business Property Tax Returns
1.___________________
2.___________________
3.___________________
4.___________________
5.___________________
6.___________________
7.___________________
8.___________________
G
PERSON TO CONTACT FOR ADDITIONAL INFORMATION OR AUDIT
Name:
_____________________________________________ Address: ________________________________________________
Company:
_____________________________________________
________________________________________________
Telephone: _____________________________________________ E-mail: ________________________________________________
H
AFFIRMATION
Listing must be signed by a principal officer, full time employee of taxpayer or individual having power of attorney.
Under penalties prescribed by law, I hereby affirm that to the best of my knowledge and belief this listing, including any accompanying
statements, inventories, schedules, and other information is true and complete.
Signature of Owner/Officer:
____________________________________________________
Date:
_______________________
Title:
____________________________________________________

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