Form 3595 - 2001 Itemized Listing Of Daily Rental Property
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1Michigan Department of Treasury, STC
3595 (Rev. 8-00)
2001 ITEMIZED LISTING OF DAILY RENTAL PROPERTY
Use this form to provide the itemized listing of "daily rental property" required by Section 8c of P.A. 206 of 1893, as
amended. "Daily rental property" is assessed to the owner at the location of the rental business and is not assessable at
its location on December 31, 2000 (hereafter referred to as "tax day") if certain requirements are met. See the reverse side
of this form for the definition of "daily rental property" and for the requirements that must be met to qualify. Property
reported on this form must also be reported in the appropriate Sections, A through F, of the owner's Personal Property
Statement (form L-4175). Assessable personal property that does not qualify as "daily rental property" must be reported
by the owner at the location of the property on tax day. Report the acquisition cost NEW of the "daily rental property"
including sales tax, freight and installation. Property must be listed on this form in the order of the year that it was placed in
service, placing more recent years before earlier years. If additional space is needed, attach additional sheets using form
3612.
Owner's Name
Doing Business As
Mailing Address (Street or RR#, City, State, ZIP)
Rental Business Location (Street or RR#, City or Township, State, ZIP)
Telephone Number
Parcel Number
Name of Person to Contact
Year
Acquisition Cost New
Description of Property
Manufacturer's
Make and/or
Serial Number
Placed in
(Rounded to the
I.D. No.
Service
nearest dollar)
(Please be specific)
Name
Model
(If assigned)
1. TOTAL ACQUISITION COST (THIS PAGE)
2. TOTAL ACQUISITION COST FROM ALL
ADDITIONAL SHEETS (form 3612)
3. TOTAL ACQUISITION COST - ALL SHEETS
(ADD 1 AND 2 ABOVE)
I, ______________________________________, hereby attest that, to the best of my information, knowledge and belief,
the property shown above and on all attached sheets is qualified as "daily rental property" as that phrase is defined in the
instructions on the reverse side of this form. On behalf of the taxpayer, I give the assessor receiving this form permission
to provide a copy of the information provided herein to the assessor of any other city or township in which the daily rental
property may have been physically located on tax day.
Signature
Date
Title (Please print or type)
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