Form 150-553-004 - Confidential Personal Property Return - 2005 Page 2

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SCHEDULE 3— FLOATING PROPERTY
(Enter “None” if no property to report)
Registration No.
Oregon Marine Board No.
Purchase Price
Date Purchased
Owner’s Opinion
Assessor’s RMV
$
of Market Value
(leave blank)
Contract Holder:
Own:
Exact Moorage Location on January 1
Fee Simple
Contract
If you have remodeled your fl oating property during
the past year, please describe in the space to the right.
(This may include a room or story addition, stringer
replacement, or acquisition of a tender house or swim
fl oat.) Also report partially completed structures.
Approximate date of remodeling: _________________
ALL OTHER VESSELS
Does this vessel ply the high seas?
Yes
No
Registration No.
Date Purchased
Purchase Price
Name of Vessel
$
Primary Moorage
Length of Vessel
Type of Fishing or Activity
If Schedule 3 items are reported on separate attachments, check here:
Schedule 3 TOTAL:
(Include attachments)
SCHEDULE 4— PROFESSIONAL LIBRARIES
(Use this format and report on a separate sheet. Enter “None” if no property to report)
1
2
5
6
7
8
Owner’s Opinion of
If set, is it complete?
Market Value
Number of
Cost When
Assessor’s RMV
3
4
Type of Library*
(leave blank)
Title of Book or Set
No
Yes
Volumes
Purchased
TOTAL
*For example, books, tapes,
Schedule 4 TOTAL:
(Include attachments)
videos, compact discs
SCHEDULE 5— ALL OTHER TAXABLE PERSONAL PROPERTY
(Not reported on Schedules 1, 2, 3, or 4)
4
5
6
1
2
3
7
8
Cost When
Owner’s Opinion
No.
Purchased
Purchased
of Market Value
Identifi cation
Model
Assessor’s RMV
of
Item of Property
(Manufacturer or Serial No.)
Year
Mo.
Yr.
EACH
TOTAL
(leave blank)
TOTAL
Units
Subtotal All Other
9
Report value of all small hand tools not reported elsewhere on this return (Indicate type)
Owner’s Opinion
Assessor’s RMV
of Market Value
(leave blank)
Service Garage
Medical
Construction/Logging
Barber and Beauty Shop
Other _________________
Radio and TV Shop
Landscape
Dental
Subtotal Tools
Improvements on federal lands, mining claims,
etc., on which fi nal proof has not yet been made:
LOCATION: Township ________ Range ________ Section ________
If Schedule 5 items are reported on separate attachments, check here:
Schedule 5 TOTAL:
(Include attachments)
Submit your original return and attachments to your county assessor. Keep a photocopy and the attached instructions for your records.
2

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