Form 150-553-004 - Confidential Personal Property Return - 2005

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2005
2005
CONFIDENTIAL PERSONAL PROPERTY RETURN
(ORS 308.290)
Assessment of Business Furniture/Fixtures/Equipment
If you have no personal property, fill in the section “No Personal
Filing Deadline: March 1, 2005
Property To Report,” sign the Taxpayer’s Declaration, and fi le this return.
PENALTY—
Maximum penalty for late fi ling of personal property return is up to 50 percent
of the tax attributable to the taxable personal property. (ORS 308.296)
Clear Form
Code Area
Account Number
FOR ASSESSOR’S USE ONLY
1. Leased or Rented Property
2. Noninventory Supplies
3. Floating Property
4. Libraries
5. All Other Property
6.
7. Total Real Market Value
8. Late Filing Penalty
Make any name or mailing address corrections above. Date changed _______________
TAXPAYER’S DECLARATION
This Return is Subject to Audit
Invalid if not signed. Under the penalties of false swearing in
LOCATION OF PERSONAL PROPERTY ON JANUARY 1, 2005.
ORS 305.990(4), I declare that I have examined this return and
File a separate return for each tax code area (or location). Attach a separate listing if needed.
all attachments. All statements made are true. To the best of my
Personal Property Location (street address, city)
knowledge, all taxable personal property I own, possess, or control,
which was in this county as of 1:00
.
., January 1 has been reported.
A
M
Date business originated in county
Type of Business
Name of Firm/Owner
Assumed Business Name of Firm Assessed
Telephone No.
Was a return fi led last year?
No
Yes County __________________
(
)
First Time Filer
Fax No.
Mailing Address
(See General Information, No. 1)
(
)
2004 Assessment Cancelled by the Assessor
City
State
ZIP Code
(See General Information, No. 2)
Signature of Person Responsible for Return
Date
➤
Remember to sign the Taxpayer’s Declaration at right
X
Printed Name of Person Signing Return
Title
No Personal Property to Report
(See General Information, No. 3)
Business closed?
Moved out of county?
Date closed:
Date moved:
THIS RETURN IS BEING FILED FOR:
New address:
Business sold?
An Individual
A Partnership
(No. of persons ____)
Date of sale:
A Corporation
A Limited Partnership
Name and Address of New Owner
(if business sold)
A Limited Liability Company
A Limited Liability Partnership
Attach a separate list of names and addresses of each individual partner.
Submit your original return and attachments to your county assessor. Keep a photocopy and the attached instructions for your records.
SCHEDULE 1— LEASED OR RENTED PERSONAL PROPERTY
(Do not report real property. Enter “None” if no personal property to report)
11
1
2
3
6
7
8
9
10
Payer of
Name and Address of
Date
Length
Owner’s Opinion of
AMOUNT OF
Original Cost
Assessor’s
Taxes to County
No.
Agree-
of
LEASE/RENT
Market Value
Second Party Involved
Description
RMV
of
2nd
ment
Agree-
4
5
In Lease/Rent Agreement
(Include model year)
(leave blank)
Each
Total
TOTAL
Filer
Party
Month
Yearly
Began
Units
ment
If Schedule 1 items are reported on separate attachments, check here:
Schedule 1 TOTAL:
(Include attachments)
SCHEDULE 2— NONINVENTORY SUPPLIES
(See instructions for examples)
7
6
REPORT TOTAL COST ON HAND AS OF JANUARY 1
Owner’s
Assessor’s
1
2
3
4
5
Opinion of
Other Noninventory
RMV
Spare Parts
Maintenance Supplies
Operating Supplies
General Offi ce Supplies
Supplies
Market Value
(leave blank)
If Schedule 2 items are reported on separate attachments, check here:
Schedule 2 TOTAL:
(Include attachments)
150-553-004 (Rev. 10-04) Web
RETURNS MARKED ‘SAME AS LAST YEAR’ MAY NOT BE ACCEPTED
1

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