2013 Business Tangible Property Return
Attn: Business Property Division
Deborah F Williams
for Spotsylvania County
Commissioner of Revenue
PO Box 175
Spotsylvania VA 22553- 0175
For assets used or available for use as of January 1, 2013
Phone: (540) 507-7051
Fax: (540) 582-7190
email: cor@spotsylvania.va.us
Account #
st
File by February 1
to avoid a late filing penalty.
Start Date (required)
Type of Business:
Sole Proprietor
Partnership
Corporation
LLC
Mailing Address: Block/Street Name:
City
State
Zip+4
Owner Name:
Physical Address: Block/Street Name:
City
State
Zip+4
Trade Name:
Social Security
Federal ID:
Contact Phone:
Business Phone:
Fax Number:
(for sole proprietors or partnerships)
Website:
Email:
Description of Business:
Itemized asset listing MUST be attached.
If the asset listing is not attached, the filing form will be returned. This will delay processing
and could result in a late filing penalty being applied. The listing needs to include all tangible property showing date of acquisition,
item description and original cost. See sample asset listing on enclosed instruction sheet.
A
B
C
Please see attached
Office Furniture & Fixtures
Heavy Construction
Manufacturing Equipment Only
instructions.
and other Equipment
(earthmovers or digging equipment)
(Machinery & Tools)
(excluding software)
Original Cost
Original Cost
Original Cost
Original Cost
Original Cost
Original Cost
Year of Acquisition
as of 1/1/12
as of 1/1/13
as of 1/1/12
as of 1/1/13
as of 1/1/12
as of 1/1/13
2012
$
$
$
$
$
$
2011
$
$
$
$
$
$
2010
$
$
$
$
$
$
2009
$
$
$
$
$
$
2008 & Prior
$
$
$
$
$
$
Total
$
Total
$
Total
$
0.00
0.00
0.00
If you own no business tangible, please check here
and provide explanation as to how your business is conducted
without the use of property.
_____________________________________________________________________________________________
Tangible Property Leased or Rented (Attached additional sheet if necessary.) Do not include real estate.
Year Placed
Owner’s Name
Owner’s Address
Item Description
Cost
in Use
$
$
If the business has closed or sold, please provide the following:
Date Closed/Sold ____ /_____ / _____
New Owner’s Name:
Phone
(
)
Mailing Address:
City
State
Zip+4
Declaration:
I declare that the foregoing statement and cost amounts are true, complete, and correct to the best of my knowledge.
_________________________________________
___/ ___ /____
(_____) ___________________ ext ________
Signature
Date
Phone Number
_________________________________________
___/ ___ /____
(_____) ___________________ ext ________
Signature (person other than taxpayer preparing this return)
Date
Phone Number
(Online form – Rev 12/19/12)
Clear ALL Fields
Print Form
Keep a copy of this form for your records.