Form 5653pbpl-2 - Business Personal Property Listing Form - Guilford County - 2010

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GUILFORD COUNTY
2010
(1)
GUILFORD COUNTY TAX DEPARTMENT
NORTH CAROLINA
(336) 641-3345
PO BOX 3138
BUSINESS PERSONAL PROPERTY LISTING FORM
GREENSBORO NC 27402-3138
FAX (336) 641-3322
LISTING NUMBER
MUNICIPALITY
TOWNSHIP
SPECIFY PRINCIPAL BUSINESS ACTIVITY IN GUILFORD COUNTY
FILING STATUS
CORPORATION
NAME 1
LOCATION OF PROPERTY (STREET ADDRESS)
PROPRIETORSHIP
PARTNERSHIP
NAME 2
DATE BUSINESS YEAR ENDS
DATE BUSINESS COMMENCED HERE
UNINCORPORATED
ASSOCIATION
OTHER (SPECIFY)
ADDRESS 1
PERSON TO CONTACT FOR AUDIT (NAME, ADDRESS, TELEPHONE)
ADDRESS 2
STATE OF INCORPORATION
FEIN OR SOCIAL SECURITY NUMBER
BUSINESS CATEGORY
RETAIL
CITY, STATE ZIP
FORMER OWNER IF PROPERTY WAS LISTED BY ANOTHER IN 2009
WHOLESALE
MANUFACTURING
PARTNERSHIP OR UNINCORPORATED ASSOCIATION - NAMES AND ADDRESS OF PARTNERS OR PRINCIPALS (ATTACH SCHEDULE IF NECESSARY)
SERVICE
OTHER (SPECIFY)
OTHER NC COUNTIES IN WHICH YOU FILED A BUSINESS PROPERTY RETURN (ATTACH SCHEDULE IF NECESSARY)
IF OUT OF BUSINESS COMPLETE THIS SECTION
SOLD EQUIPMENT / FIXTURES/SUPPLIES TO (GIVE BUYER’S NAME, ADDRESS & PHONE)
CHECK ONE:
SOLD
CLOSED
DATE OPERATIONS CEASED
/
/
BANKRUPT
OTHER
DEPARTMENT USE ONLY
SCHEDULE A - SUPPLIES AND EXPENSED ITEMS AS OF JANUARY 1
DO NOT USE AN ARBITRARY FIGURE. EXPENSE AND OTHER DOCUMENTATION MAY BE REQUIRED TO SUBSTANTIATE ALL ENTRIES.
APPRAISER
TWP
RC
ST
1. OFFICE, MAINTENANCE, JANITORIAL, MEDICAL, DENTAL, BARBER AND BEAUTY SUPPLIES
2. FUELS HELD FOR CONSUMPTION
FMEQ
3. REPLACEMENT PARTS OR SPARE PARTS
MVEH #
4. RESTAURANT AND HOTEL ITEMS SUCH AS LINENS AND COOKWARE NOT LISTED IN SCHEDULE B
OVEH #
MOBH #
5. RENTAL ITEMS NOT SOLD IN THE NORMAL COURSE OF BUSINESS AND NOT LISTED IN SCHEDULE B
6. ALL OTHER MISCELLANEOUS SUPPLIES NOT LISTED ABOVE
ACFT #
TOTAL
SUP
FNFX
7. DISPLAY ITEMS INCLUDING FINISHED GOODS INVENTORIES COMMITTED
2009
TO USE PRIOR TO ULTIMATE SALE OR DISPOSITION. LIST BY YEAR OF
2008
OTHER 1
ACQUISITION. ATTACH SEPARATE SCHEDULE IF NECESSARY
PRIOR
OTHER 2
8. EXPENSED ITEMS:
LIST TOTAL AMOUNT ON HAND BY YEAR ACQUIRED
TOTAL
2009
CAPITALIZATION THRESHOLD:
2008
(SECTION 179 EXPENSED ITEMS SHOULD BE REPORTED IN SECTION B)
PRIOR
SCHEDULE B - MACHINERY, EQUIPMENT, FURNITURE, FIXTURES, COMPUTERS, SOFTWARE, LEASEHOLD IMPROVEMENTS & CIP
LIST AT TOTAL COST BY YEAR OF ACQUISITION INCLUDING ALL FULLY DEPRECIATED ASSETS AS OF JANUARY 1. ATTACH SEPARATE SCHEDULES IF NECESSARY.
YEAR OF
MACHINERY &
FURNITURE &
COMPUTER EQUIPMENT
LEASEHOLD
ACQUISITION
TOTAL
DEPARTMENT USE ONLY
EQUIPMENT
FIXTURES
& SOFTWARE
IMPROVEMENTS
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
PRIOR
TOTAL
CIP
PERSONAL PROPERTY CONSTRUCTION IN PROGRESS AS OF JANUARY 1 AT 100% COST INCURRED TO DATE
AFFIRMATION OF TAXPAYER
Under penalties prescribed by law, I hereby affi rm that to the best of my knowledge and belief this listing, including any accompanying statements, inventories, schedules, and other information, is true and complete.
If this affi rmation is signed by an individual other than the taxpayer, he affi rms that he is familiar with the extent and true value of all the taxpayer’s property subject to taxation in this county and that his affi rmation is
based on all the information of which he has any knowledge. Listing MUST be signed by a principal offi cer or full-time employee of taxpayer.
SIGNATURE
DATE
PREPARER OTHER THAN TAXPAYER
DATE
TITLE
TELEPHONE NUMBER
ADDRESS

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