State Tax Form 2/form Of List - Return Of Personal Property Subject To Taxation - 2017
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1
2CITY OF BOSTON
FISCAL YEAR 2017 – STATE TAX FORM 2/FORM OF LIST
RETURN OF PERSONAL PROPERTY SUBJECT TO TAXATION
Massachusetts General Laws Ch. 59, § 29
Electronic Filing Version of Sections 1 and 5 and Supplemental Information Request
NOTE: If your business
TO BE FILED BY ALL INDIVIDUALS, PARTNERSHIPS, ASSOCIATIONS OR TRUSTS, CORPORATIONS, LIMITED
LIABILITY COMPANIES AND OTHER LEGAL ENTITIES SUBJECT TO TAXATION IN THIS CITY. PERSONAL
sold, closed, or moved out
PROPERTY SCHEDULES ARE NOT OPEN TO PUBLIC INSPECTION (see Massachusetts General Laws Chapter
of Boston before January
59 § 32).
1, 2016, please complete
Section 5, Part C.
Forms must be fi led by March 1 unless an extension is granted by the board of assessors.
1. TAXPAYER INFORMATION –
Complete all sections that apply. Please TYPE or PRINT. Use attachments as necessary.
A. Name of Taxpayer:
FID Number: ________________ (Not SSN)
1. Owner’s Name: ____________________________________________________
2. Business Name: ____________________________________________________
: ________________
B. Assessing Department Business ID#
(If not known, see note at bottom of page)
:
C. Indicate Status
Individual
(Do not include social security number above)
Partnership. Provide names of all partners:
___________________________________________________
Association or Trust. Provide names of all members/trustees
: _____________________________________
Limited Liability Company. Provide names of all members
: _______________________________________
If any of the above or other non-corporate entity, treated as corporation for federal income tax (a) by default rules, check here
or (b) by election form, check here . Eff ective date: ___________________. If (b) is checked, attach federal election form 8832.
CHECK HERE:
If entity fi ling federally as a corporation is classifi ed as a manufacturer by the Department of Revenue. To be classifi ed
as a manufacturer, an application must be made to the Commissioner on or before January 31 on form 355Q. G. L. ch. 63
§ § 39 & 42B; ch. 58 § 2; ch. 59 § 5 (16) (5) and 830 C. M. R. 58.2.1.
If entity fi ling federally as a corporation fi les Massachusetts return 63-20P, 63-23P or 63FI (see below).
Corporation
(check this box only if an incorporated entity)
CHECK HERE
:
If corporation classifi ed as a manufacturer by Commissioner of Revenue (to be classifi ed as a manufacturer, an
application must be made to the Commissioner on or before January 31 on form 355Q. G. L. ch. 63 § 42B; ch. 58 §
2; ch. 59 § 5 (16) (5) and 830 C. M. R. 58.2.1).
If an insurance company fi ling premium excise return 63-20P or 63-23P (G. L. ch. 63 § § 20 & 23).
If a fi nancial institution fi ling fi nancial institution return 63FI (G. L. ch. 63 § § 1 & 2).
Executive/Administrator
.
_____________________________________________________
Indicate estate of:
_______________________________________________
Decedent’s last residence:
Other. Specify:
___________________________________________________________________________
D. Annual certifi cation of entity tax status
(all except individuals must complete):
Has entity fi led Certifi cation of Entity Status as of this January 1 with the Department of Revenue?
Yes*
No
*If Yes, please provide confi rmation number: ________________
(Certifi cation must be fi led annually on or before April 1. DOR Directive 12-05).
E. Nature of Business or Profession:
F. State of Formation:
G. Date of Formation:
___________________________
____________________
____________________
H. Business Address:
Boston Address: ______________________________________________________________
Mailing Address (if diff erent): ____________________________________________________
Telephone Number: (
) ____________________
:
I.
Location(s) of Personal Property in City of Boston
_____________________________________________
NOTE: IF THIS IS AN EXISTING ACCOUNT, PLEASE ENTER THE SIX DIGIT BUSINESS ID # FROM YOUR TAX BILL IN SECTION B ABOVE.
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