Form 571-L - Business Property Statement - 2013
Download a blank fillable Form 571-L - Business Property Statement - 2013 in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form 571-L - Business Property Statement - 2013 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4
5BOE-571-L (P1) REV. 18 (05-12)
SACRAMENTO COUNTY
KATHLEEN KELLEHER, ASSESSOR
Personal Property Division
3701 Power Inn Road, Suite 3000
DECLARATION OF COSTS AND OTHER RELATED PROPERTY
Sacramento CA 95826-4329
INFORMATION AS OF 12:01 A.M. JANUARY 1, 2013
Telephone (916) 875-0730
FAX (916) 875-0735
/ PPDutyApr@saccounty.net
FILE RETURN BY APRIL 1, 2013
LOCATION OF THE BUSINESS PROPERTY
NAME AND MAILING ADDRESS
Parcel Number:
(Make necessary corrections of the printed name and mailing address)
Physical Location in Sacramento County
Business Name:
Mailing Address:
(file a separate statement for each location)
PART I GENERAL INFORMATION
Complete (a) through (g).
f. Enter name and telephone no. of authorized person to contact at location of accounting
a. Enter type of business:
records:
b. Enter local telephone no. (
)
FAX no. (
)
g. During the period of January 1, 2012 through December 31, 2012:
E-Mail Address (Optional):
@
(1) Did any individual or legal entity (corporation, partnership, limited
c. Do you own the LAND at this business location?
liability company, etc.) acquire a “controlling interest” (see instructions for
YES
NO
If yes, is the name on your deed recorded as shown on this statement?
definition) in this business entity?
YES
NO
YES
NO
d. When did you start business at this location? DATE:
If your business name or location has changed from last year, enter the former name
(2) If YES, did this business entity also own “real property” (see instructions for
YES
NO
and/or location:
definition) in California at the time of the acquisition?
e. Enter location of general ledger and all related accounting records (include zip code):
(3) If YES to both questions (1) and (2), filer must submit form BOE-100-B
Statement of Change in Control and Ownership of Legal Entities, to the
State Board of Equalization. See instructions for filing requirements.
PART II DECLARATION OF PROPERTY BELONGING TO YOU
COST
ASSESSOR’S USE ONLY
(OMIT CENTS)
(Attach schedule for any adjustment to cost)
SEE INSTRUCTIONS
FULL VALUE
TOTAL VALUE
FIXTURES
1. Supplies
2. Equipment
(From Line 35)
3. Equipment out on Lease, Rent, or Conditional Sale to Others
(Attach Schedule)
PERSONAL PROPERTY
4. Bldgs., Bldg. Impr., and/or Leasehold Impr., Land Impr., Land
(From Line 71)
5. Construction in Progress
(Attach Schedule)
6. Alternate Schedule A
(
See Instructions)
EXEMPTION
7.
8.
PART III
DECLARATION OF PROPERTY BELONGING TO OTHERS
ASSESSMENT TYPE
PRIOR YEAR FIXTURES
PRIOR YEAR PERSONALTY
IF NONE, WRITE “NONE”
(SPECIFY TYPE BY CODE NUMBER)
Year
Year
Cost to
Report conditional sales contracts that are not leases on Schedule A
of
of
Description and Lease or
Annual
Purchase
1. Leased Equipment
4. Vending Equipment
Acq.
Mfr.
Identification Number
Rent
New
2. Lease-Purchase Option Equipment
5. Other Businesses
3. Capitalized Lease Equipment
6. Government - Owned Property
Tax Obligation:
A. Lessor
B. Lessee
9.
Lessor’s Name
Mailing Address
10. Lessor’s Name
Mailing Address
PROCESSING DATA
DECLARATION BY ASSESSEE
Ownership
ASSESSOR’S USE ONLY
Note: The following declaration must be completed and signed. If you do not do so, it may result in penalties.
()
Type
I declare under penalty of perjury under the laws of the State of California that I have examined this property statement, including accompanying
Proprietorship
By:
schedules, statements or other attachments, and to the best of my knowledge and belief it is true, correct, and complete and includes all property required
Partnership
to be reported which is owned, claimed, possessed, controlled, or managed by the person named as the assessee in this statement at 12:01 a.m. on
Corporation
Date:
January 1, 2013.
Other ________
Signature of Assessee or Authorized Agent*
Date
Computed:
Business
Name of Assessee or Authorized Agent *
Title
Telephone Number
(typed or printed)
Description
()
Reviewed:
Retail
Name of Legal Entity
Federal Employer ID Number
(other than DBA) (typed or printed)
Wholesale
Billed:
Manufacturer
Preparer’s Name and Address
Telephone Number
(typed or printed)
Service/Prof.
Verified:
*Agent: See page 7 for Declaration by Assessee instructions.
THIS STATEMENT SUBJECT TO AUDIT
INFORMATION PROVIDED ON A PROPERTY STATEMENT MAY BE SHARED WITH THE STATE BOARD OF EQUALIZATION
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal