Form 103-P5 - Business Tangible Personal Property Depreciable Assets In Pool 5 Form - Indiana

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BUSINESS TANGIBLE PERSONAL PROPERTY
2007 PAY 2008
DEPRECIABLE ASSETS IN POOL 5
FORM 103 - P5
State Form 52497 (R / 3-07)
Prescribed by the Department of Local Government Finance
PRIVACY NOTICE: The records
in this series are confidential
according to IC 6-1.1-35-9.
INSTRUCTIONS:
1. This form may only be used by an integrated steel mill or an entity that is at least fifty percent (50%) owned by an affiliate of an integrated steel mill; and
falls within Asset Class 33.4 as set forth in IRS Rev. Proc. 87-56, 1987-2, C.B. 647; or is owned, leased, or used as an integrated part of an oil refinery /
petrochemical company or its affiliate; and falls within Asset Class 13.3 or 28.0 as set forth in IRS Rev. Proc. 87-56, 1987-2, C.B. 647.
(Pursuant to IC 6-1.1-3-23)
2. This schedule supplements the pooling schedules on Page 3 of the Form 103-Long.
3. This schedule must be submitted with the Form 103-Long.
SECTION 1
TAXPAYER INFORMATION
Federal identification number
Name of taxpayer
Full address (number and street, city, state and ZIP code)
Name of contact person
Title
T elephone number
E-mail address
(
)
County
Township
DLGF Taxing District
DLGF Taxing District number
SECTION 2
TANGIBLE PERSONAL PROPERTY OTHER THAN INVENTORY
The total cost of special tools, dies, jigs, fixtures, etc.; permanently retired equipment, commercial aircraft, and commercial bus line fleet, not subject to
excise tax is to be deducted in full in Column B below. All Column B adjustments must be supported on Form(s) 103-T, 106, and 103-I respectively)
and recorded on the appropriate lines on Form 103.
Election to report cost of Depreciable Assets by Federal tax year
Yes
No
This election is available only when the federal tax year ends December 31 or January 31. See 50 IAC 4.2-4-6(c)
SCHEDULE A
POOL NUMBER 5
Adjustments
Adjusted
Total Cost or
TTV %
True Tax Value
Base Year Value
(see note above)
Cost
From
to 3-1-07*
$
40%
$
01
$
3-2-06 to 3-1-07
40%
02
3-2-05 to 3-1-06
56%
03
3-2-04 to 3-1-05
42%
04
3-2-03 to 3-1-04
32%
05
3-2-02 to 3-1-03
24%
06
3-2-01 to 3-1-02
18%
07
3-2-00 to 3-1-01
15%
08
Prior
to 3-1-00
10%
09
TOTAL POOL NUMBER 5**
$
$
10
$
* If taxpayer elects to report cost on a federal tax year basis, assets acquired from the end of the prior federal tax year to March 1 are to be reported on this line.
** Include line 10 totals in entries on the Total All Pools on the Form 103 (Page 2, Line 56).

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