Business Tangible Property Tax Return Form - 2010

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Ingrid H. Morroy
Commissioner of Revenue
2010
Arlington County
BUSINESS TANGIBLE PROPERTY TAX RETURN
10% PENALTY DUE IF
File this return on or before May 1, 2010
FILED AFTER MAY 1, 2010
Account No.______________________
Part I: Taxpayer Information
FEIN or SS #: ______________________________
Start date in Arlington: ________________________
Cease date in Arlington: ______________________
Phone: ________________Fax: ________________
Arlington Address: ___________________________
Number of Employees: _______________________
Part II: Asset Tables
A: Non-Computer Assets
A
B
C
D = A-B+C
E
F = D x E
Year of
Original
Sold or
Acquired or
Total Cost
Value %
Value
Purchase
Capitalized Cost
Discarded(-)
Transferred(+)
2003 & Prior
20%
2004
30%
2005
40%
2006
50%
2007
60%
2008
70%
2009 *
80%
Total
B: Computer Assets
A
B
C
D = A-B+C
E
F = D x E
Year of
Original
Sold or
Acquired or
Value
Total Cost
Value
Purchase
Capitalized Cost
Discarded(-)
Transferred(+)
%
2006 & Prior
10%
2007
30%
2008
45%
2009 *
65%
Total
Total All
Part III: Leased Assets (attach additional sheets if necessary)
Name of
From
To
Description and
Complete Mailing Address
Original Cost
Owner
mm/dd/yy
mm/dd/yy
Serial Number
Declaration:
I, the undersigned, do affirm that the foregoing information is true and correct to the best of my knowledge.
Print Name: _________________________________________Phone: _________________________________________
Signature:
___________________________________Date: _________ E-mail: ________________________________
** SEE INSTRUCTIONS ON REVERSE **
P/

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