Form At3-75 - Personal Property Return - 2014 Page 3

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3.
Supplies (for example, office supplies) . . . . . . . . . . . . . . . . . . Average Cost $_________________________
2014
___________
6.
Vehicles with Interchangeable Registrations (dealer, recycler, finance company, special mobile equipment, and
FORM
transporter plates) and unregistered vehicles should be reported here.
AT3-75
PAGE 3
ORIGINAL COST BY YEAR OF ACQUISITION
2013
2011
Total Cost $ ____________________
2012
2010 and prior
8.
Other personal property (not included in any item above) . . . . . . . . . . . . . . . . . . . . . . . . . Total Cost $ ____________________
File separate schedule giving a description of property, original cost and the date of acquisition.
9.
Property owned by others and used or held by the entity as lessee or otherwise . . . . . .Total Cost $ ____________________
File separate schedule showing names and addresses of owners, lease number, description of property, installation date and separate
cost in each case.
10.
Property owned by the entity but used or held by others as lessee or otherwise . . . . .Total Cost $ ____________________
File separate schedule showing names and addresses of lessees, lease number, description of property, installation date and original
cost by year of acquisition for each location. Schedule should group leases by county where the property is located.
SECTION III
This Section must be completed if question C on page 1 is answered Yes:
A.
Total Gross Revenue, or amount of business transacted during 2013 in Maryland . . . . . . . . $ _____________________________
If the entity operates in Maryland and does not report any personal property, explain how the business is conducted without personal
property. If the entity is using the personal property of another business, provide the name and address of that business.
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
B.
If the entity operates on a fiscal year, state beginning and ending dates:
________________________________________________
C.
If this entity succeeds an established bank, savings bank, savings & loan
or trust, provide name of former entity:
________________________________________________
D.
Does the entity own any fully depreciated and/or expensed personal property located in Maryland?
________________ If yes, is that property reported on this return? ________________
(Yes or No)
(Yes or No)
E.
Does the submitted balance sheet or depreciation schedule reflect personal property located outside of Maryland?
________________ If yes, reconcile it with this return.
(Yes or No)
F.
Has the entity disposed of assets or transferred assets in or out of Maryland during 2013?
________________ If yes, complete Form 4C (Disposal and Transfer Reconciliation).
(Yes or No)
PLEASE READ “IMPORTANT REMINDERS” ON PAGE 4 BEFORE SIGNING
I declare under the penalties of perjury, pursuant to Tax-Property Article 1-201 of the Annotated Code of Maryland, that this return, including any
accompanying schedules and statements, has been examined by me and to the best of my knowledge and belief is a true, correct and complete return.
NAME OF FIRM, OTHER THAN TAXPAYER, PREPARING THIS RETURN
PRINT OR TYPE NAME OF OFFICER
x
x
SIGNATURE OF PREPARER
DATE
SIGNATURE OF OFFICER
DATE
(
)
(
)
PREPARER’S PHONE NUMBER
PHONE NUMBER
EMAIL ADDRESS
EMAIL ADDRESS

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