Form 50-288 - Lessor'S Rendition Or Property Report For Leased Automobiles Page 2
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250-288 page 2
CONFIDENTIAL
(11/01)
SCHEDULE A: REPORT OF LEASED VEHICLES
Name of Lessee
Address where vehicle is kept (Number & Street)
City, town or post office, state, ZIP code
Phone (area code and number)
Property Owner’s Value Estimate (optional)*
Vehicle Identification Number
Year
Make
Body Style/Type
Model
County
Weight**
Lease Date
Purchase Date
Has the lessee signed an affidavit designating the vehicle as not held for income production and not used for the production of income?
Yes
No
Has the property owner maintained lessee’s affidavit? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
Name of Lessee
Address where vehicle is kept (Number & Street)
City, town or post office, state, ZIP code
Phone (area code and number)
Property Owner’s Value Estimate (optional)*
Vehicle Identification Number
Year
Make
Body Style/Type
Model
County
Weight**
Lease Date
Purchase Date
Has the lessee signed an affidavit designating the vehicle as not held for income production and not used for the production of income?
Yes
No
Has the property owner maintained lessee’s affidavit? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
Name of Lessee
Address where vehicle is kept (Number & Street)
City, town or post office, state, ZIP code
Phone (area code and number)
Property Owner’s Value Estimate (optional)*
Vehicle Identification Number
Year
Make
Body Style/Type
Model
County
Weight**
Lease Date
Purchase Date
Has the lessee signed an affidavit designating the vehicle as not held for income production and not used for the production of income?
Yes
No
Has the property owner maintained lessee’s affidavit? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
Name of Lessee
Address where vehicle is kept (Number & Street)
City, town or post office, state, ZIP code
Phone (area code and number)
Property Owner’s Value Estimate (optional)*
Vehicle Identification Number
Year
Make
Body Style/Type
Model
County
Weight**
Lease Date
Purchase Date
Has the lessee signed an affidavit designating the vehicle as not held for income production and not used for the production of income?
Yes
No
Has the property owner maintained lessee’s affidavit? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
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