2004 Personal Property Declaration
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62004 P
P
D
ERSONAL
ROPERTY
ECLARATION
C
.
OMMERCIAL AND FINANCIAL INFORMATION IS NOT OPEN TO PUBLIC INSPECTION
List or Account #:
Assessment date October 1, 2004
Required return date November 1, 2004
Owner’s Name:
DBA:
L
(
&
):
OCATION
STREET
NUMBER
SECTION A -
D
,
,
,
,
BUSINESS
ATA
FOR BUSINESSES
OCCUPATIONS
PROFESSIONS
FARMERS
LESSORS
Direct questions concerning return to -
Location of accounting records -
Name
Address
City/State/Zip
/
/
Phone / Fax
(
)
(
)
(
)
(
)
Description of Business
How many employees work in your facilities in this town only?
*
Date your business began in this town?
How many square feet does your firm occupy at your location(s) in this town?
*
Sq. ft.
Own
Lease
In the last 12 months was any of the property included in this declaration
Type of ownership:
Yes
No
located in another Connecticut town for at least 3 months? If yes, identify
by specific months, code, cost, and location(s).
Corporation
Partnership
LLC
Sole proprietor
Other – Describe
Are there any other business operations that are operating from your
address here in this town? If yes give name and mailing address.
Type of business:
Manufacturer
Wholesale
Do you own tangible personal property that is leased or consigned to others
Service
Profession
in this town? If yes, complete Lessor’s Report (page 7)
Tradesman
Retail/Mercantile
st
Did you have in your possession on October 1
any borrowed, consigned,
Lessor
stored or rented property? If yes, complete Lessee’s Listing Report (page
7).
Other-Describe
T
P
I
SECTION B -
AXABLE
ROPERTY
NFORMATION
COPY AND ATTACH ADDITIONAL SHEETS IF NEEDED
OFFICE
G
U
O
IVE ACTUAL ACQUISITION COSTS INCLUDING ANY ADDITIONAL CHARGES FOR
SE
NLY
.
TRANSPORTATION AND INSTALLATION BY YEAR FOR EACH TYPE OF PROPERTY DESCRIBED
#9- M
Unregistered motor vehicles (e.g. campers, RV’s, snowmobiles, trailers, trucks, passenger cars, tractors, off-road
OTOR VEHICLES
construction vehicles, etc.) including any vehicle garaged in Connecticut but registered in another state, or any such vehicle not registered at all.
.
Year
Make
Model
Identification No.
Length
Weight
Purchase Price
Date
Value
Code
#9
#11 H
Describe your horses and ponies. A $1,000 assessment exemption per animal will be applied. If you are a farmer, the exemption is
ORSES AND PONIES
100% provided Form M-28 is filed with and approved by the Assessor.
Breed
Age
Registered
Sex
Quality:
Value
Breeding/Show/Pleasure/Racing
#11
Page 1
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