Connecticut Confidential Report For Personal Property Form - 2005
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1
2OFFICE OF THE AS S ES S OR
Conne cticut Confide ntia l Re port For P e rs ona l P rope rty - Re turn By Nove mbe r 1s t, 2005
Ye a rly S umma ry S che dule s
As s e s s or's Us e
YES
NO
I re que s t tha t this informa tion be ke pt confide ntia l.
Loca tion
Account Numbe r
Na me of Bus ine s s
P e rs on to conta ct pe rta ining to informa tion be low.
& phone #
Bus ine s s Code
P rint na me
This Re turn Is S ubje ct to Audit
Item #9 - Non-Registered Motor Vehicles (includes Trailers, Dealers and Repairers)
As s e s s or's Us e
YEAR
Ma ke
Mode l
I.D. Numbe r
Ma rke t Va lue
S umma ry
$
Ite m #9
Tota l
$
$
As s mt
(Atta ch lis t for a dditiona l ve hicle s )
Tota l
$
Ite m #10 - Ma chine ry & Equipme nt
Item #16 - Office Furniture, Fixtures
Year Ending Orig. Cost, transportation & installation
Year Ending
Deprec. Value
Orig. Cost, transp. & installation
Deprec. Value
X95%
$
10-1-05
10-1-05
x 95%
$
$
$
s
s
10-1-04
10-1-04
X90%
X 90%
S umma ry
S
$
s
s
s
Item # 10
10-1-03
10-1-03
X80%
X 80%
$
s
s
$
s
10-1-02
10-1-02
x70%
x 70%
Total
s
$
10-1-01
10-1-01
x6O%
$
x 6O%
Assmt
$
$
s
10-1-00
10-1-00
X50%
Item -# 16
X50%
$
$
s
10-1-99
10-1-99
x 40%
x4O%
$
$
Total
$
s
s
s
P rior yrs .
Prior yrs.
$
x30%
x30%
Assmt
Tota l
Tota l
S
Tota l
S
S
Tota l
S
Ite m # 20 - E.D.P . Equipme nt/Compute rs
Ite m # 21 - Te le communica tions Equipme nt
Orig. Cost, transp. & installation
Year Ending
Year Ending
Orig. cost, transportation & installation
De pre c. Va lue
De pre c Va lue
10-1-05
10-1-05
X90%
X90%
$
S
S
$
10-1-04
10-1-04
x7O%
x70%
S
$
S
S
S umma ry
10-1-03
10-1-03
X55%
S
x55%
$
$
S
Ite m # 20
10-1-02
10-1-02
x4O%
S
S
$
x 4O%
$
Tota l
10-1-01
10-1-01
X30%
x30%
$
$
$
S
Assmt
10-1-00
10-1-00
X30%
$
x30%
$
$
Item 0 21
$
10-1-99
x30%
10-1-99
$
$
x3O%
S
$
Total
Prior yrs.
x30%
Prior yrs.
x30%
$
$
$
S
Assmt
Total
$
Total
Total
S
$
Total
S
Ite m.#
- De s cription
Ite m #23 - S upplie s
Year Ending
Original cost, transportation & installation
Amaze Monthly Cost
Deprec. Value
10-1-05
x95%
$
S
$
10-1-04
X90%
$
S umma ry
$
10-1-03
As s e s s or's Note s :
x8O%
he m #
$
$
10-1-02
x70%
$
$
Tota l
10-1-01
x6O%
$
$
As s mt
10-1-00
X50%
Ite m # 23
$
$
10-1-99
x4O%
$
$
Tota l
P rior yrs .
x3O%
$
$
As s mt
$
Tota l
$
Tota l
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