Business Personal Property Listing - Guilford County - 2012 Page 2
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3GROUP(7) LEASEHOLD IMPROVEMENTS
GROUP(8) OTHER – DESCRIBE
(ATTACH DESCRIPTION)
YEAR
YEAR
ORIGINAL
CURRENT YEAR
ORIGINAL
CURRENT
ACQUIRED
ACQUIRED
ADDITIONS
DELETIONS
ADDITIONS
DELETIONS
COSTS
COST
COSTS
YEAR COST
2011
2011
2010
2010
2009
2009
2008
2008
2007
2007
2006
2006
2005
2005
2004
2004
2003
2003
2002
2002
2001
2001
2000
2000
1999
PRIOR
1998
TOTAL
PRIOR
TOTAL
If you need additional space to list property under schedules B and C, please attach a separate report in THE SAME FORMAT
as below. Write “see attached” on the schedules if this is necessary.
VEHICULAR EQUIPMENT & MOBILE OFFICES - SEE INSTRUCTIONS
SCHEDULE B
GROUP(1) UNREGISTERED MOTOR VEHICLES, SPECIAL BODIES, AND MULTIYEAR TAGGED TRAILERS – SEE INSTRUCTIONS
YEAR
MAKE
MODEL
BODY/SIZE
VEHICLE ID. # (VIN)
ORIG. COST
YR ACQ
OFFICE USE
GROUP(2) BOATS & BOAT MOTORS – SEE INSTRUCTIONS
TYPE
YEAR/MAKE/MODEL
LENGTH /SIZE
REGIS. #
LOCATION
ENGINE TYPE
ORIG COST
YR ACQ
OFFICE USE
BOAT
MOTOR
GROUP(3) AIRCRAFT – SEE INSTRUCTIONS
YEAR
MAKE
MODEL
SERIAL#
LOCATION
TAIL #
ORIG COST
YR ACQ
OFFICE USE
GROUP(4) MANUFACTURED HOMES & OFFICE TRAILERS – SEE INSTRUCTIONS
YEAR
MAKE
WIDTH /LENGTH
TITLE #
VEHICLE ID # (VIN)
ORIG COST
YR ACQ
OFFICE USE
PROPERTY IN YOUR POSSESSION ON JANUARY 1, OWNED BY OTHERS-SEE INSTRUCTIONS
SCHEDULE C
NAME AND ADDRESS OF OWNER
DESCRIPTION OF PROPERTY
LEASE/ACCOUNT #
MONTHLY
COST NEW (QUOTE)
START/END LEASE
PAYMENT
DATE
LISTING FORM MUST BE SIGNED BY A LEGALLY AUTHORIZED PERSON - SEE INSTRUCTIONS
AFFIRMATION
Under penalties prescribed by law, I hereby affirm that to the best of my knowledge and belief this listing, including any accompanying statements, inventories,
schedules, and other information, is true and complete.
Listing must be signed by the taxpayer, a principal officer of the taxpayer, or a full time employee of the taxpayer who has been officially empowered by the
principal officer to list the property. Listings may be subject to audit review, for compliance and accuracy of returns.
_____________________________________________________
____________________________________________________
Signature
Date
Preparer other than taxpayer
Date
_____________________________________________________
_____________________________________________________
Print or Type Name
Print or Type Name
_____________________________________________________
_______________________________________________________________________
Title
Telephone Number
Address
Telephone Number
_____________________________________________________
_______________________________________________________________________
Email Address
Email Address
Any individual who willfully makes and subscribes an abstract listing required by this Subchapter (of the Revenue Laws) which he does not believe to be true and
correct as to every material matter shall be guilty of a Class 2 misdemeanor. (Punishable by a fine not to exceed $1,000 and/or imprisonment up to 60 days.)
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