Application For Property Tax Exemption For Certain Heavy Equipment Subject To Local Gross Receipts Tax Form - Catawba County

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Catawba County

Department of Tax Administrator

Business Personal Property Section

100-A Southwest Blvd * Post Office Box 368

Newton, NC 28658-0368

Phone: (828) 465-8406 Fax: (828) 465-8413

APPLICATION FOR PROPERTY TAX EXEMPTION FOR CERTAIN HEAVY EQUIPMENT

SUBJECT TO LOCAL GROSS RECEIPTS TAX

Instructions—Under the provisions of G.S. 105-282.1, every owner of the types of property described below claiming exemption or exclusion from property taxes thereon must

demonstrate that it meets the statutory requirements for exemption or classification. Claims for exemption or exclusion must be filed annually with the Tax Administrator of

the county in which the property is located during the statutory listing period.

____________

Tax Year

_______________________________________________________________

Owner/Legal Company Name

______________________________________________________________________

Trade Name or DBA

__________________________________________________________________________

Mailing Address

____Sole Proprietorship ____Partnership ____Corporation ____LLC ____LLP

Type Business

#_____________________________________

FED ID

__________________________________________________________

Physical Address in Catawba County

(

) _________________________

Phone # at Physical Address

cation __________________________________

Date Business Began at This Lo

The undersigned owner or authorized representative hereby petitions for exemptions or exclusion of the following

Equipment subject to property tax exemption is defined in part as earthmoving, construction, or industrial equipment, and its attachments, that is mobile, weighs at least 1,500

pounds, and meets either of the following two descriptions:

a. It is a self-propelled vehicle that is not designed to be driven on a highway

b. It is industrial lift equipment, industrial material handling equipment, industrial generation electrical equipment, or a similar piece of industrial equipment

described property. (Describe each piece of equipment individually, attach schedule if necessary)

Description of Equip

Model#

Serial#

Original Cost

Weight

Year Acquired

________________________________________________________________________________________________

AFFIRMATION

Under penalties prescribed by law, I hereby affirm that to the best of my knowledge and belief, the statements in this application are true and correct and are made for the pur-

pose of exempting the property herein described from taxation, in order that it be reported as gross receipts. I further affirm that the amounts claimed on this form are taken

from records of the taxpayer and may be verified from said documents.

_______________________________________, 20_____

_________________________________________________________________________________________

Signature of owner or authorized representative

__________________________________________________________________________________________

Title

Telephone Number

FOR OFFICE USE ONLY

Approved _____Yes _____No

Initials_____ Date___________