Business Return Of Tangible Personal Property, Machinery And Tools - 2009

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CITY
OF
FAIRFAX,
COMMISSIONER OF THE REVENU
E,
ROOM
224,
CITY
HALL· 10455
AR
MSTRONG STREET,
FAIRFAX
,
VI
RGI
NIA
22030·
(703) 385-7880
2009
BUSINESS RETURN OF TANGIBLE PERSONAL PROPERTY,
MACHINERY
AND
TOOLS
Account
No.
Employer
I,
D
. .
No.
~
(
Nature
of Business or
Profession
Business Phone
Business
Address
if different
from mailing:
Every
person
,
business
or
profession
owning
tangible
personal
property
and/or
mach inery
and tools
subject
to
tax
in
the City
of Fairfax,
Vi
rginia on
January
1,
2009
must
report
sa
rne
on
this
return
and
file on or bPlore May 1,
2009
with
Wilham
Page Johnson
lI,
CommIssIoner of the Revenue
City
Hall. F'llrfal!. Virginia
22030
A penalty of len percent of the lax otherwise assessed
will
be added to returns received
aller
May
t.
2009.
Postnlark
date
governs mailed returns,
WORKSHEET.
LISTING ALL
TANGIBLE PROPERTY OWNED, DATE ACQUIRED AND ORIGINAL COST, MUST BE
ATTACHED HERETO.
PART
1
-
ALL NON-COMPUTER PROPERTY:
(
ENTER
BELOW
THE ORIG INAL COST VALUES,
NOT
DEPRECIATED VALUES:
IF LEASED
OR
RE
NTED
PERSONA
L
PROPERTY WAS
IN
YOUR
POSSESSION
AS
OF 1-1-09, FU
RN
ISH NAME AND ADDRESS
OF
LESSOR,
DESCRIPTION
OF
LEASED
PROPERTY,
DATE
LEAS
ED,
AND
COST
ON
A
SEPARATE
SHEET.
PART 2 ­
COMPUTER EQUIPMENT
PRO
PERTY
ACQUIRED
ON JAN.
1, 2009
DUR
ING
2008
DUR
ING
2007
DURING
2006
DURING 2005
DUR
ING
2004
AND BEFORE:
COMPUTER
EQUIPMENT
100%
65%
45%
30%
10%
2%
I
i
PROPERTY
ACQU
IRED
ON
JAN.
1.
2009
DURING
2008
DURI
NG 2007
DURING
2006
DURING
2005
I
II
DURI
NG
2004
(
DURI
NG
2003
DURI
NG 2002
AND
BEFORE:
FURNITURE,
FIXTURES
&
EQUIPMENT
MACH1NERY
&
TOOLS
80~/o
70%
60%
50%
40%
30%
20%
10%
NOTE:
IT
IS
A
MISDEMEANOR FOR
ANY
PERSON
WILLFULL
Y
TO SUBSCRIBE
A
I
I
RETURN
WHICH
HE DOES NOT
BELIEVE
TO
BE TRUE
AND
CORRECT AS TO
EVERY
IF
ADDRESS
IS
INCORRECT
TRADE
NAM
E
PLEASE
CO
RRECT
BELOW
SEC.
58.1 -11)
MATERIAL
MA
TTER
(CODE OF VIRGINIA,
CORPO
RATE
NAME
SEE REVERSE
SIDE
FOR ASSESS MEN
MAILING ADDRESS
FOAMULAS AND COMPLETE INSTAUCTIONS
I
r
L
~
"A
SEPARATE WORKSHEET OF COMPUTER eQUIPMENT
REPORTED IN PART 2 IS REQUIRED.
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)
(
TAXPAYER RETAIN COpy
Authorized
Signature
- - - - - - - - -
--
--
-- - -
--
- - - Date - - - - - -
-­
Print Signature
Title
Telephone
No
.
_
__ _ _ _ _ _ _ _
__

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