Business Personal Property Listing Form - North Carolina - 2013
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CLEAR
2013
COUNTY OF
North Carolina
BUSINESS PERSONAL PROPERTY LISTING
ACCOUNT NUMBER
DATE
TWP
DISTRICT
CITY
PENALTY
VALUE
FOR DEPARTMENT
USE ONLY
1
2
3
4
5
6
7
8
B
D
E
F
TOTAL
Business Legal Name or Individual’s Name
WHAT IS PRINCIPAL BUSINESS
IN THIS COUNTY
SIC # OR NAICS CODE
Trade Name or DBA
DATE BUSINESS BEGAN IN THIS COUNTY
Address
DATE BUSINESS (FISCAL) YEAR ENDS
FILL IN APPLICABLE CIRCLE:
City
State
Zip
PARTNERSHIP
SOLE
UNINCORPORATED
NC
PROPRIETORSHIP
ASSOCIATION
LLC
CORPORATION
OTHER (SPECIFY)
OTHER N.C. COUNTIES WHERE PERSONAL PROPERTY IS LOCATED
FILL IN APPLICABLE CIRCLE: BUSINESS CATEGORY
RETAIL
WHOLESALE
MANUFACTURING
SERVICE
LEASING/RENTAL
FARMING
CONTACT PERSON FOR AUDIT
OTHER (SPECIFY)
ADDRESS & PHONE
IF OUT OF BUSINESS COMPLETE THIS SECTION
CONTACT PERSON FOR PAYMENT & PHONE
DATE CEASED
FILL IN APPLICABLE CIRCLE:
PHYSICAL ADDRESS
SOLD
CLOSED
BANKRUPT
OTHER
REAL ESTATE OWNED BY
SOLD EQUIPMENT, FIXTURES,
SUPPLIES TO
NAME IN WHICH BUSINESS WAS LISTED LAST YEAR
BUYER’S ADDRESS & PHONE
NOTE: Business owners who acquired an existing business in the previous year must contact the county tax office for important listing
instructions. Click on the link below for a list of county tax office phone numbers and addresses.
SCHEDULE A
PERSONAL PROPERTY - SEE INSTRUCTIONS
GROUP (1) MACHINERY & EQUIPMENT
GROUP (3) OFFICE FURNITURE & FIXTURES
YEAR
YEAR
ACQUIRED
ACQUIRED
PRIOR YR. COST
ADDITIONS
DELETIONS
CURR. YR. COST
PRIOR YR. COST
ADDITIONS
DELETIONS
CURR. YR. COST
0
0
0
2012
0
2012
2011
0
0
0
0
2011
0
0
0
0
0
0
0
0
2010
2010
0
0
0
0
2009
0
0
0
0
2009
0
0
0
0
2008
0
0
0
0
2008
0
0
0
0
0
0
2007
0
0
0
0
2007
0
0
2006
0
0
0
0
2006
0
0
0
0
0
0
0
0
0
0
PRIOR
0
0
2005
0
0
0
0
2004
0
0
0
0
TOTAL
0
0
0
0
2003
GROUP (4) COMPUTER EQUIPMENT
YEAR
ACQUIRED
2002
0
0
0
0
PRIOR YR. COST
ADDITIONS
DELETIONS
CURR. YR. COST
0
0
0
0
2001
0
2012
0
2000
0
0
0
0
2011
0
0
0
0
0
0
0
0
1999
0
0
2010
0
0
1998
0
0
0
0
2009
0
0
0
0
0
0
0
0
1997
PRIOR
0
0
0
0
PRIOR
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
TOTAL
DO NOT REMIT THIS FORM TO NC DEPARTMENT OF REVENUE
GROUP (2) CONSTRUCTION IN PROGRESS
County addresses and additional schedules are available at:
LIST TOTAL OF ALL PERSONAL PROPERTY EXPENDITURES IN CIP ACCOUNT
ON JANUARY 1, BUT NOT INCLUDED ABOVE - ITEMIZE IN SCHEDULE G
TOTAL CIP: $
Send to appropriate county tax office.
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