Form L-4175 - Personal Property Statement - 2017 Page 4
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4632, Page 4
SECTION L - Detail of Leases (This Section is Completed by Leasing Companies)
Equipment that you lease to others should be reported under this section. Notice: You must also complete Sections A - F on Page 2.
See instructions. You may use attachments in lieu of completing this section if the attachments contain the information requested
below, in the same format, and if you complete the Tables on Page 2. You must report Eligible Manufacturing Personal Property
(EMPP) in this Section which you are leasing to another, unless both you and your lessee (your customer) have made an
election, using Form 5467, to have the lessee report the EMPP on its Form 5278. See the detailed notice at the beginning of
the Instructions, at the top of the first column, Page 5. Attach additional sheets, if necessary.
Are you a manufacturer of equipment?
Yes
No
Location of
Type of
Lease
Monthly
1st Year
Manufacturer
Original
Lease No.
Name & Address of Lessee
Equipment
Equipment
Period (Mo.)
Rental
in Service
Cost
Selling Price
Total Original Selling Price
SECTION M - Leasehold Improvements
All Leasehold Improvements (LHI) made at your place of business should be reported under this section, even if you believe that the
improvements are not subject to assessment as Personal Property. Report trade fixtures, foundation costs and equipment installation
costs, including wiring and utility connections, in the appropriate Section A through F, on page 2, not as LHI. See instructions. To
prevent a duplicate assessment, provide as much detail as possible. You may attach additional explanations and/or copies of "fixed
asset" records, if the attachment provides all of the information requested below and if you insert the total original cost in "Total Cost
Incurred" below. Personal Property reported here should not be reported elsewhere on Form L-4175.
STC
True Cash Value
Year Installed
Description (Describe in detail)
Original Cost
Multiplier
Assessor's Calculation
2016
Notice: 2016 installations must be reported above. Installations of LHI prior to 2016 are reported in this section, below this notice. The State Tax
Commission has directed that commencing in 2017 all Leasehold improvement installations in 2016, or later, must be valued as improvements made
to the leased real property. Trade fixtures and installation costs for equipment, must be reported on page 2, regardless of the date of installation.
Assessor: Do not assess 2016 installations as personal property except where the lease is a pre-1984 lease.
Total Cost Incurred (including 2016)
M1
M2
SECTION N - Buildings and Other Structures on Leased or Public Land and All Freestanding Signs and Billboards
Costs of Freestanding Communications Towers and Equipment Buildings at Tower sites (unless reported on Form 4452), and Costs of
Freestanding Signs and Billboards must also be reported under this Section. Any Personal Property reported in this section should not
be reported elsewhere on Form L-4175. Attach additional sheets, if necessary.
Check this box if you believe that these structures are already assessed as part of the real property.
Year Originally
Total Capitalized
True Cash Value
*
Address or Location of Building
Built
Cost
Assessor's Calculation
N1
N2
Total Capitalized Cost
SECTION O - Rental Information. See Instructions. (Attach additional sheets, if necessary.)
IF YOU ARE THE TENANT
Name and address of landlord __________________________________________________________________________________
Is your landlord the owner of the property?
Yes
No
If you are a sublessee, enter the name and address of the owner
of the property _______________________________________________________________________________________________
IF YOU ARE THE LANDLORD
Name and address of tenant ___________________________________________________________________________________
Are you the owner of the property?
Yes
No
If you are a sublessor, enter the name and address of the owner of
the property ________________________________________________________________________________________________
TO BE COMPLETED REGARDLESS OF WHETHER YOU ARE THE LANDLORD OR TENANT
Address of property rented or leased ____________________________________________________________________________
Date that current rental arrangement began:_________. Square feet occupied:_________ Monthly rental $____________________
Date current lease expires:________________. Are there options to renew the lease?
Yes
No
Expenses (e.g. taxes, electric, gas, etc.) paid by the tenant ___________________________________________________________
Assessor Value
O2
COST GRAND TOTAL (for page 4)
TRUE CASH VALUE GRAND TOTAL (for page 4)
TAXPAYER: Add Total Cost Incurred from
Section M and Total Capitalized Cost from
ASSESSOR: Add True Cash Value totals
Section N (M1 and N1). Enter grand total
from Sections M-O (M2-O2). Enter grand
$
$
here and carry to line 11a, page 1.
total here and carry to line 11b, page 1.
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