Individual Personal Property Listing - Office Of The Henderson County Assessor - 2016

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Office of the Henderson County Assessor
Individual Personal
200 North Grove Street Suite 102
Property Listing
Hendersonville, NC 28792-5027
Phone (828) 697-4870 Fax (828) 697-4578
TO AVOID PENALTY, RETURN
SIGNED COMPLETED LISTING
TAX YEAR: 2016
FORM BY FEBRUARY 1st
Abstract Number
Tax Jurisdiction
A
Ownership Information
ATTENTION MANUFACTURED HOME OWNERS:
If you sold a manufactured home during calendar year 2015,
please indicate the new owner, sale date and sale price below.
Name_______________________ Phone______________
Address_________________________________________
City, St, Zip______________________________________
Date Sold_________________ Sale Price______________
Physical Location of Personal Property:
B
Listed Property: Below is personal property listed in your name for which you will be billed in 2016.
C
PLEASE SEE INSTRUCTIONS ON BACK OF THIS PAGE
Property Type
Property ID
Description of Personal Property
Unlisted Personal Property: You must list any properties in your possession in Henderson County as of January 1st, which are
D
not listed above.
PLEASE SEE INSTRUCTIONS ON BACK OF THIS PAGE
Length
Model
VIN#, Tail#, Registration #,
Motor 1
Motor 2
Property Type
Make
Model
and
Original Cost
Year
Hull ID#
HP
HP
Width
Failure to timely list any personal property in your possession as of January 1, 2016, shall result in a 10% penalty of the amount of the tax
per North Carolina General Statute 105-312(h).
E
AFFIRMATION -SEE INSTRUCTIONS
UNDER PENALTIES PRESCRIBED BY LAW, I HEREBY AFFIRM THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THIS LISTING,
INCLUDING ANY ACCOMPANYING STATEMENT, SCHEDULE, AND OTHER INFORMATION IS TRUE AND COMPLETE.
__________________________________________________
________________________
_____________________________________________________
Signature
Date
Printed Name
__________________________________________
____________________________________
________________________________________________________
Home Phone
Business Phone
Email Address

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