Personal Property Declaration Form Page 2

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Property Information (continued)
0
Assessment date October 1, 2004
List/Account #:
Required return date November 1, 2004
0
DBA: 0
Owner’s Name:
#10
Machinery & Equipment
#13
Newly acquired mfg. M&E
Code
Assessment
Year Ending
Original Cost + % Gd
Net Value
To claim under this code file Exemption Application M-65.
10/1/04
95%
0
Year Ending
Original Cost + % Gd
Net Value
10/1/03
90%
0
10/1/04
90%
0
10/1/02
80%
0
10/1/03
80%
0
10/1/01
70%
0
10/1/02
70%
0
#10
0
10/1/00
60%
0
10/1/01
60%
0
10/1/99
50%
0
10/1/00
50%
0
#13
0
10/1/98
40%
0
Total
0
0
30%
0
All Prior Years
#20 EDP Equipment per
Sec. 168 IRS Codes
Total
0
0
Year Ending
Original Cost + % Gd
Net Value
#16
Furniture & fixtures
10/1/04
95%
0
Year Ending
Original Cost + % Gd
Net Value
10/1/03
80%
0
10/1/04
95%
0
10/1/02
60%
0
10/1/03
90%
0
10/1/01
40%
0
10/1/02
80%
0
20%
0
All Prior Years
10/1/01
70%
0
Total
0
0
10/1/00
60%
0
#16
0
10/1/99
50%
0
#23
Expensed Supplies
10/1/98
40%
0
Year Ending
Total Expenses # Mo.
Avg. Monthly
#20
0
30%
0
10/1/04
1
0
All Prior Years
Total
0
0
Total
0
0
#23
0
#21a
Telecom Equip Not Adv.
#21b
Telecomm Equip Adv
Year Ending
Original Cost + % Gd
Net Value
Year Ending
Original Cost + % Gd
Net Value
10/1/04
95%
0
10/1/04
95%
0
10/1/03
90%
0
10/1/03
80%
0
10/1/02
80%
0
10/1/02
60%
0
10/1/01
70%
0
10/1/01
40%
0
10/1/00
60%
0
20%
0
#21b
0
All Prior Years
10/1/99
50%
0
Total
0
0
10/1/98
40%
0
#21a
0
See Instrutions and Descriptions tab for definitions of
30%
0
All Prior Years
telecommunication equipment Not Advanced and
Total
0
0
Total 21
0
Advanced
#24a
All ther goods, chattels & effects
#24b
Rental video tapes
Year Ending
Original Cost + % Gd
Net Value
Year Ending
Original Cost + % Gd
Net Value
10/1/04
95%
0
10/1/04
95%
0
10/1/03
90%
0
10/1/03
80%
0
10/1/02
80%
0
10/1/02
60%
0
10/1/01
70%
0
10/1/01
40%
0
10/1/00
60%
0
20%
0
#24b
0
All Prior Years
10/1/99
50%
0
Total
0
0
10/1/98
40%
0
Average # video tapes on hand:
#24a
0
30%
0
All Prior Years
Total
0
0
Total 24
0
#22
Cables, conduits, pipes, etc.
Year Ending
Original Cost + % Gd
Net Value
10/1/04
0
10/1/03
0
10/1/02
0
10/1/01
0
10/1/00
0
10/1/99
0
10/1/98
0
0
All Prior Years
Total
0
0
#22
0
Page Two

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