Annual Return To Coventry Form - Ri Tax Assessor - 2016 Page 3

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SECTION 5 BUILDINGS & IMPROVEMENTS ON LEASED LAND
Property Address:
_________________________________________
PLAT ______ LOT ______
Property Used For:
_________________________________________
CLAIMED FULL VALUE:
Name of Landowner:
_________________________________________
$_______________________
Is Lease Recorded? YES ______ NO ______
Dates of Lease From: __________ to __________
SECTION 6 STOCK IN TRADE / SUPPLIES
This Section to be used by ALL BUSINESSES, INCLUDING MANUFACTURERS
Your Average Monthly Stock In Trade / Supplies at Cost
_____________________ (FIFO Method)
Your Average Monthly Retail / Wholesale Inventory at Cost
_____________________ (FIFO Method)
Below, list the value of your Retail / Wholesale Inventory by MONTH.
January: ______________ February: ______________ March: ______________ April: ______________
May: _______________ June: _______________ July: _______________ August: _______________
September: ______________ October: ______________ November: ______________ December: ______________
Planned floor goods must be included.
SECTION 7 MANUFACTURER INVENTORIES WHICH YOU CLAIM EXEMPT
(RI LAW 44-5-38, as amended)
Type of Inventory
City and State of
Claimed Full Value 100%
Manufacture
Raw Materials
Goods In Progress
Finished Goods
TOTAL
$
SECTION 8 LEASED / RENTED / CONSIGNED
This Section to be Used by All Businesses
TANGIBLE PERSONAL PROPERTY
INCLUDING MANUFACTURERS
Owner / Address
Item Description
Cost New
Lease Term
Monthly Rent
Lease #
SECTION 9 TANGIBLE PROPERTY LEASED OR RENTED TO OTHERS
On December 31, 2015, if you owned any items of tangible personal property (except registered motor vehicles), which
you leased or rented to others, attach a separate schedule to this form and report all of the following information
for each item:
Lessee’s name and location of property, description of property, your acquisition cost, date of acquisition or
installation, date of manufacture, monthly rental or lease income, and dates of lease.

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