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SPECIAL CASES

(Check all that apply to your firm)

Previously received an exemption for construction-in-process

$25 million or more investment by existing business not meeting

on this investment.

hiring requirement with special zone sponsor approval/resolutions

(attach documentation).

Change in information pertaining to firm’s eligibility

Extended exemption period—up to total of five years. (Ensure that

(see #4 on previous page).

assessor has copy of required written agreement with sponsor.)

Local incentives provided by sponsoring jurisdiction(s).

Urban zone with additional conditions of the zone sponsor.

Partial occupancy of an eligible building.

Zone boundary was changed for this investment.

Two corporations under common ownership.

Terminated enterprise zone.

Building acquired or leased after construction or reconstruction

Grandfathered firm, precertified after zone termination.

that began prior to application for precertification.

Briefly explain checked items (attach additional pages if necessary).

QUALIFYING PROPERTY

Summary of Cost of Qualified Property for which an Exemption is Claimed —

New building or structure with a cost of $25,000 or more . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Addition to or modification of an existing building or structure with a cost of $25,000 or more . . . . . . . . . . . . . . . . . . . . . . .

Machinery and equipment newly purchased, leased, or transferred from outside the county:

Real property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal property costing $1,000 or more for each item and used exclusively for producing tangible goods . . . . . . . . . .

Personal property costing $50,000 or more for each item, regardless of use, except self-propelled motorized vehicles . .

Total Cost ($25,000 minimum) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Note: For an addition or modification of an existing building or structure the exemption is based on any increase in assessed value.

PERSONAL PROPERTY

Personal property is machinery and equipment which is readily movable. It is generally unattached in any way to a building or structure and is also

not connected to other real property machinery and equipment. Attach additional pages if necessary.

Location of Property:

Street Address

City

State

ZIP Code

Property Description:

Serial

Purchase