Business Personal Property Listing - North Carolina

SCHEDULE A - CONTINUED

PERSONAL PROPERTY - SEE INSTRUCTIONS

GROUP (5) IMPROVEMENTS TO LEASED PROPERTY

GROUP (7) SUPPLIES

COST

YEAR

ACQUIRED

PRIOR YR. COST

ADDITIONS

DELETIONS

CURR. YR. COST

1. OFFICE, MAINTENANCE, JANITORIAL, MEDICAL, DENTAL, BARBER

AND BEAUTY SUPPLIES

2011

2. FUELS HELD FOR CONSUMPTION

2010

3. REPLACEMENT PARTS AND SPARE PARTS

2009

4. RESTAURANT AND HOTEL ITEMS SUCH AS LINENS, CLEANING SUPPLIES

2008

AND COOKWARE NOT LISTED ELSEWHERE IN SCHEDULE A

2007

5. RENTAL ITEMS NOT SOLD IN THE NORMAL COURSE OF BUSINESS

AND NOT LISTED ELSEWHERE IN SCHEDULE A

2006

6. ALL OTHER MISCELLANEOUS SUPPLIES NOT LISTED ABOVE

2005

7. TOTAL

2004

GROUP (8) OTHER -

TO BE USED WITH COUNTY APPROVAL

2003

YEAR

ACQUIRED

2002

PRIOR YR. COST

ADDITIONS

DELETIONS

CURR. YR. COST

2001

2011

2010

2000

2009

1999

2008

1998

2007

PRIOR

2006

TOTAL

2005

Capitalization

2004

GROUP (6) EXPENSED ITEMS

YEAR

Threshold

ACQUIRED

2003

PRIOR YR. COST

ADDITIONS

DELETIONS

CURR. YR. COST

2002

2011

2001

2010

2000

PRIOR

TOTAL

SCHEDULE B

VEHICULAR EQUIPMENT & MOBILE HOMES OR MOBILE OFFICES

If you answer yes to any of questions 1-6 below, you must attach the appropriate Schedule which corresponds with the equipment type listed below. If you

answer yes to any of questions 1,2, or 3 attach Schedule B-1, attach Schedule B-2 for watercraft, attach Schedule B-3 for Mobile Homes or Mobile Offices,

and attach Schedule B-4 for aircraft. Indicate number of short-term rental vehicles owned for question 7.

1. Does your business own any Unregistered Motor Vehicles?

YES

B-1

If yes attach schedule

2. Does your business own any Multi-year or permanently registered Trailers?

YES

3. Does your business own any special bodies on vehicles?

YES

* Please Note Modifications From Previous Years*

B-2

If yes attach schedule

4. Does your business own any watercraft or engines for watercraft?

YES

B-3

If yes attach schedule

5. Does your business own any Mobile Homes or Mobile Offices?

YES

B-4

If yes attach schedule

6. Does your business own any Aircraft?

YES

Number

7. Does your business own any vehicles held for short-term rental?

YES

SCHEDULE C

LEASED PROPERTY OR OTHER PROPERTY IN YOUR POSSESSION THAT IS OWNED BY OTHERS

N.C.G.S. 105-315 AND 105-316 requires every person having custody of taxable tangible personal property that has been entrusted to him by another for

any business purpose to furnish a separate list containing name, address and description of this property. If you answer yes to one of the following three

questions or are otherwise required to supply this list, you must return the list or separate Schedule C-1 by January 15.

1. Does your business hold any Leased Property, owned by another party (are you a lessee)?

YES

2. Do you have any property used by your business, or in your possession that is owned by others?

YES

3. Do you operate a mobile home park, campground, marina, aircraft storage facility or similar business?

YES