Business Return Of Tangible Personal Property, Machinery And Tools Form (2010) - City Of Fairfax - Virginia

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CITY OF
FAIRFAX.
COMMISSIONER OF THE
REVENUE
.
ROOM
224.
CITY
HAl l
-
10455
ARMSTRONG STREET,
FAIRFAX.
VIRGI
NIA
22030'
(70
3)
385·
7880
'2010
II I
BUSINESS RETURN OF
TANGIBLE PERSONAL PROPERTY,
MACHINERY
AND
TOOLS
/',1
I
Account
No.
Employer I. D.
No.
Nature
of
Bu siness
or
Profession
Business
Phone
Business Address if different
from
mailing:
Eve
ry
person,
business or profession
owning tangible
personal
property and/or
machinery and
tools
subject
to
lax
in
the
City
of
Fairfax,
Virginia
on
January
1,
2010 must report
same on this retu
rn
and
file nn or belorf!
Mav
1 2010
with
Williaf"'l Pagp
Johnson
II
Commisslonel
of
the
Revenue.
City
.,
Ill.
r
max.
Virginia
2~030
penalty of len percent of the tax otherwise assessed will be added to returns received
after May '1, 2010.
Postmarl,
date governs m<'liled returns
. WORKSHEET,
LISTING ALL
(
TANGIBLE PROPERTY OWNED, DATE ACQU IRED AND
ORIGt
NAL COST,
MUST
BE
ATTACHED HEqETO.
IF LEAS
ED
OR
RENTED
PERSONA
L
PROP ERTY
WAS
IN
YOUR
POSSESSION AS OF 1-1-10,
FUR
NISH NAME AN
D
ADDRESS
OF LESSOR
•
DESCRI
PTION
OF LEASED
PROPERTY,
DATE
LEAS ED,
AND COST ON A
SEPA,RATE SHEET.
I II
PART 2 ­
COMPUTER EQUIPMENT
*
JSS:SSC:S.
ENTER
BELOW THE ORIGINAL CO
ST
VALUES.
NOT
DEPRECIATED
VALUES:
.
PROPERTY
COMPU
TER
ACOU
IRED
EOUIPMENT
ON
JAN.
1.
20
10
100%
DU
RING
2009
65%
DU
RING 2008
45%
{
DURING 2007
30%
I'
ll
'I
DURING 2.006
10%
(
C
~I
DU
RI
NG
2005
2%
AND BEFORE:
(
C~
NOTE:
IT IS
A
MISDEMEANOR FOR
ANY
PERSON WILLFULL
Y
TO SUBSCRIBE
A
I
I
(
RETURN WHICH
HE DOES NOT BELIEVE
IF
ADDRESS IS
INCORRECT
TO
BE TRUE
AND
CORREC
T
AS
TO
EVERY
TRADE
NAME
PLEASE CORRECT
BELOW:
MATERIAL MATTER.
(CODE OF
VIRGINIA
SEC.
58.1
-
11
)
CORPORATE NAME
SEt: RI:.V!:.f-1SI:; SIDE FOR ASSESSMENT
MAILING ADDRESS
FORMULAS AND COMPLETE INSTRUCTIONS
L
~
I I
'A SEPARATE WORKSHEET OF COMPUTER EQUIPMENT
REPORTED IN PART 2 IS REQUIRED.
PART
1
­
ALL
NON-COMPUTER
PROPERTY:
ENTER
BELOW
THE
ORI
GINAL
COST
VALUES, NOT DEPRECIATED
VALU
ES:
i
i
PROPERTY
FURNITURE, FIXTURES
MACHINERY
ACQ UIRED
&
EQUIPMENT
&
TOOLS
-
ON
JAN.
1.2010
80%
DURING
2009
70%
DURIN
G 2008
60%
DURI
NG
2007
50%
DURI
NG
2006
40%
I
DURI NG
2005
30%
DURING
2004
20%
I
DURI
NG
2003
10%
AND BEFORE:
DECLARATION: I
declare
that
the statements and
figures
herein
given are
true,
full
,
and correct
to the
best
of
my
knowledge
and belief.
RETURN ORIGINAL ONLY )
Authorized
Signature
Date - - - - - - ­
(
TAXPAYER
RETAIN
COPY
Print
Signatu
re
Title
Telephone
No.
_
_ _ _ _ _
_____
__

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