Business Personal Property Listing - North Carolina - 2012
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1
2
32012
COUNTY OF
North Carolina
BUSINESS PERSONAL PROPERTY LISTING
ACCOUNT NUMBER
DATE
TWP
DISTRICT
CITY
PENALTY
VALUE
FOR DEPARTMENT
USE ONLY
1
2
3
4
5
6
7
8
B
D
E
F
TOTAL
Business Legal Name or Individual’s Name
STANDARD INDUSTRIAL
CLASSIFICATION CODE (SIC #)
NAICS CODE
Trade Name or DBA
DATE BUSINESS BEGAN IN THIS COUNTY
Address
DATE BUSINESS (FISCAL) YEAR ENDS
FILL IN APPLICABLE CIRCLE:
City
State
Zip
PARTNERSHIP
SOLE
UNINCORPORATED
PROPRIETORSHIP
ASSOCIATION
LLC
CORPORATION
OTHER (SPECIFY)
OTHER N.C. COUNTIES WHERE PERSONAL PROPERTY IS LOCATED
FILL IN APPLICABLE CIRCLE: BUSINESS CATEGORY
RETAIL
WHOLESALE
MANUFACTURING
SERVICE
LEASING/RENTAL
FARMING
CONTACT PERSON FOR AUDIT
OTHER (SPECIFY)
ADDRESS & PHONE
IF OUT OF BUSINESS COMPLETE THIS SECTION
CONTACT PERSON FOR PAYMENT & PHONE
DATE CEASED
FILL IN APPLICABLE CIRCLE:
PHYSICAL ADDRESS
SOLD
CLOSED
BANKRUPT
OTHER
REAL ESTATE OWNED BY
SOLD EQUIPMENT, FIXTURES,
SUPPLIES TO
NAME IN WHICH BUSINESS WAS LISTED LAST YEAR
BUYER’S ADDRESS & PHONE
WHAT IS PRINCIPAL BUSINESS IN THIS COUNTY
SCHEDULE A
PERSONAL PROPERTY - SEE INSTRUCTIONS
GROUP (1) MACHINERY & EQUIPMENT
GROUP (3) OFFICE FURNITURE & FIXTURES
YEAR
YEAR
ACQUIRED
ACQUIRED
PRIOR YR. COST
ADDITIONS
DELETIONS
CURR. YR. COST
PRIOR YR. COST
ADDITIONS
DELETIONS
CURR. YR. COST
2011
2011
2010
2010
2009
2009
2008
2008
2007
2007
2006
2006
2005
2005
2004
PRIOR
2003
TOTAL
2002
GROUP (4) COMPUTER EQUIPMENT
YEAR
ACQUIRED
2001
PRIOR YR. COST
ADDITIONS
DELETIONS
CURR. YR. COST
2000
2011
1999
2010
1998
2009
1997
2008
1996
PRIOR
PRIOR
TOTAL
TOTAL
DO NOT REMIT THIS FORM TO NC DEPARTMENT OF REVENUE
GROUP (2) CONSTRUCTION IN PROGRESS
County addresses and additional schedules are available at:
LIST TOTAL OF ALL PERSONAL PROPERTY EXPENDITURES IN CIP ACCOUNT
ON JANUARY 1, BUT NOT INCLUDED ABOVE - ITEMIZE IN SCHEDULE G
TOTAL CIP: $
Send to appropriate county tax office.
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