Form 150-504-004 - Confidential Personal Property Return 2001 Page 2
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2SCHEDULE 3 — FLOATING PROPERTY
(Enter “None” if no property to report)
Registration No.
Oregon Marine Board No.
Date Purchased
Purchase Price
Owner’s Opinion
Assessor’s RMV
$
of Market Value
(Leave blank)
Own:
Contract Holder:
Exact Moorage Location on January 1
Fee Simple
Contract
If you have remodeled your floating 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
float.) 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?
Number of
Cost When
Assessor’s RMV
Market Value
Type of Library *
Title of Book or Set
Volumes
Purchased
(Leave blank)
3
4
NO
YES
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)
1
2
3
4
5
6
7
8
Pur-
Cost When
Owner’s Opinion
Identification
Model
chased
No. of
Purchased
of Market Value
Assessor’s RMV
Item of Property
(Manufacturer or Serial No.)
Year
Units
(leave blank)
EACH
TOTAL
TOTAL
Mo.
Yr.
Subtotal All Other
9
Report value of all small hand tools not reported elsewhere on this return
Owner’s Opinion
Assessor’s RMV
(Indicate type)
of Market Value
(leave blank)
Barber and Beauty Shop
Service Garage
Medical
Construction/Logging
Radio and TV Shop
Landscape
Dental
Other _________________
Subtotal Tools
Improvements on federal lands, mining claims, etc.,
LOCATION: Township _______ Range _______ Section _______
on which final proof has not yet been made:
If Schedule 5 items are reported on separate attachments, check here:
Schedule 5 TOTAL:
(Include attachments)
2
Submit your original return and attachments to your county assessor. Keep a photocopy and the attached instructions for your records.
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