Form 740-A - Business Return Of Tangible Personal Property For Businesses And Professions - Department Of Finance - Henrico
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1
2Form 740-A
COUNTY OF HENRICO, VIRGINIA
Filing date on or before
March 1, 2016.
Department of Finance - PO Box 90775 -- Henrico, VA 23273-0775
2016
Penalty for late
BUSINESS RETURN OF TANGIBLE PERSONAL PROPERTY
filing is 10%.
FOR BUSINESSES AND PROFESSIONS
(MANUFACTURERS USE FORM 740 M&T TO REPORT MACHINERY AND TOOLS)
Account No:
For assistance call (804) 501-4310 or visit our website at
Business Number
Date Business
Date Business Ceased
(Use in all correspondence)
Federal ID or SSN
VA Professional License No. (If Applicable)
Began in Henrico
Operation in Henrico
Ph #:
Business Type:
Report Below Any Changes in Preprinted Information
Individual
Partnership
Corporation
LLC
Other
Email:
Taxpayer
Name
Trade
Name
Mailing
Address
City/
State/Zip
Location
of Property
REPORT ORIGINAL COST OF ALL TANGIBLE PERSONAL PROPERTY OWNED AND LOCATED IN HENRICO
COUNTY AS OF JANUARY 1, 2016 SUPPORTED BY A DETAILED ITEMIZED LIST.
(Excluding Computer Equipment but Including Outdoor Signs.
Schedule 80:
TANGIBLE PERSONAL PROPERTY
NOTE: Do not include licensed motor vehicles.)
COST OF PROPERTY
ADDITIONS
DISPOSALS
TOTAL
OFFICE USE ONLY
YEAR PURCHASED
(A)
(B)
(C)
(A plus B) minus C
Purchased in 2015
Purchased in 2014
Purchased in 2013
Purchased in 2012
Purchased in 2011
Purchased in 2010
Purchased in 2009
Purchased in 2008
Purchased in 2007
Purchased in 2006 & Prior
Schedule 85:
PERSONAL AND MAINFRAME COMPUTERS AND PERIPHERAL EQUIPMENT
(Including CPUs, computer-based telephones, computer-based medical equipment, copiers, disk drives, docking stations, fax machines,
modem, monitors, mouse, printers, satellite equipment, scanners, storage units, supercomputers, uninterrupted power supplies, etc.)
owned & located in Henrico County as of January 1, 2016.
COST OF PROPERTY
ADDITIONS
DISPOSALS
TOTAL
OFFICE USE ONLY
YEAR PURCHASED
(A)
(B)
(C)
(A plus B) minus C
Purchased in 2015
Purchased in 2014
Purchased in 2013
Purchased in 2012
Purchased in 2011
Purchased in 2010 & Prior
Schedule 95:
Tangible Personal Property , located in Henrico County as of January 1, 2016, leased or rented from others. For informational purposes only.
LEASE NO.
DESCRIPTION OF ITEM AND BEGINNING
MONTHLY RENT
NAME OF OWNER
ADDRESS OF OWNER
ID/SERIAL/MODEL/TITLE NOS.
AND ENDING DATES OF LEASE
Please enter below a contact name and phone number so we can contact you if we have a question about your return.
Contact Person _______________________________________ Title _____________________________ Phone #________________________
Email _________________________________________________________________________________
Failure to file this return can result in criminal penalties. (Henrico Code §20-8) UNSIGNED RETURNS WILL NOT BE ACCEPTED.
DECLARATION: I declare that the statements and figures herein given are true, full and correct to the best of my knowledge and belief.
TAXPAYER SIGNATURE: __________________________________________
DATE: _______________
NOTE:
It is a Class 1 Misdemeanor for any person willfully to subscribe a return which he does not believe to be true and correct as to every
material matter. (Code of VA. §58.1-11)
SEE REVERSE SIDE FOR INSTRUCTIONS
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