Form M- 15 - Town Of Avon Personal Property Declaration

Form M- 15 - Town Of Avon Personal Property Declaration - 2005 Page 2

OWNER'S AFFIDAVIT

I DO HEREBY declare under penalty of false statement that the foregoing list, according to the best of my knowledge, remembrance

and belief, is a true statement of all my property liable to taxation. I also declare under penalty of false statement that I have not

conveyed or temporarily disposed of any estate for the purpose of evading the laws related to the assessment and collection of taxes.

Signature

Owners Name (Please Print)

Date

Phone #

AGENT'S AFFIDAVIT

I DO HEREBY declare under oath that I have been duly appointed agent for the owner of the property listed above and that I have

full authority, and knowledge sufficient to file a property list for him in accordance with provisions of State Statute 12-50, C.G.S.

(Signature of Agent)

Subscribed and sworn to before me this

day of

, 2005

Signature

(Assessor staff member or Notary)

THIS SECTION FOR ASSESSOR'S USE ONLY

Exempt

Exemption

C8de

Exemption

No.

Code

Authority

Explanation

Amount

12-81(68)

$1,000 per animal (unless Form M-28 is approved - see Code lEA)

1 1

IGA

12-81(36)

$500 or Code 12 assessment, whichever is less

MPA

12-81(72)

NAB

100% of Code 13 assessment (plus cost of transportation/installation)

provided Form M-65 is approved.

12-91

lEA

$1 00,000 or Code 17 assessment, whichever is less and 1 00% of Code I 1

assessment, provided Form M-28 is approved

12-81(38)

$500 or Code 18 assessment, whichever is less

IFA

12-81(37)

$500 or Code 19 assessment, whichever is less

JAA

Form M- 15 - Town Of Avon Personal Property Declaration - 2005 Page 2

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