State Form 49639 - Information Return For Commercial Vehicles - Indiana

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INFORMATION RETURN FOR COMMERCIAL VEHICLES

PAYING LICENSE EXCISE TAX EFFECTIVE JANUARY 1, 2000

State Form 49639 (For use in 2000 only)

Prescribed by the State Board of Tax Commissioners 2000

PRIVACY NOTICE: The records in

this series are confidential according

to I.C. 6-1.1-35-9, 1982 edition.

Name of Taxpayer

Federal Identification Number

If a business, name under which business is conducted

Taxing district number

Address where property is located (number and street, city, town, and zip code

Taxing district name

If a business, nature of business

Township

Name and address to which Assessment and Tax Notice is to be mailed (if different than above)

County

Telephone Number (

)

Pursuant to IC 6-6-5.5-18, a taxpayer who owns, holds, possesses, or controls a commercial vehicle that is subject to the commercial excise

tax under IC 6-6-5.5 and would have been subject to assessment as personal property on March 1, 2000, under the law in effect before

January 1, 2000 is required to complete this information return.

This form is for information purposes only and will not create a personal property tax liability for calendar year 2000. The information provided

to the township assessor on this return will be used by the State Board of Tax Commissioners to determine each taxing unit's share of the new excise

tax enacted under IC 6-6-5.5.

NOTE:

The intent of this form is to capture the amount of assessed value that would have been reported by taxpayers in each taxing unit for the vehicles now

on excise tax pursuant to IC 6-6-5.5 (commercial vehicles excise tax).

INSTRUCTIONS:

If you would have reported a commercial or individual vehicle for the March 1, 2000 assessment year on:

Complete:

Form 103-I

Section A

Form 103-Long, 103-Short

Section B

Form 102

Section C

Form 101

Section D