Form Stc 12:32i - Industrial Business Property Return

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STC 12:32I (Rev. 2012)
For Internal Use
STATE OF WEST VIRGINIA
____________
Tax Department
NAICS
Industrial Business Property Return
THIS RETURN IS TO BE FILED AS SOON AS POSSIBLE AFTER JULY 1, BUT NO LATER THAN AUGUST 1. PLEASE RETURN TO:
WEST VIRGINIA STATE TAX DEPARTMENT, APPRAISAL SERVICES UNIT, P.O. BOX 2389, CHARLESTON, WV 25328-2389
FILING LATE OR FAILING TO FILE MAY RESULT IN A $25 - $100 PENALTY
The following is a complete and accurate report of all property owned by the undersigned at this location on July 1, __________
This is a business in the County of ______________________________; District of __________________________; Town/City of ________________________________
BASIC BUSINESS INFORMATION
(PP11)
BUSINESS NAME AND MAILING ADDRESS
(PP 51)
AGENT OR PREPARER'S NAME AND ADDRESS
NAME
NAME
ADDRESS
ADDRESS
CITY
CITY
STATE
ZIP CODE
STATE
ZIP CODE
PHONE (
)
EXTENSION
PHONE (
)
EXTENSION
PRIMARY OWNER NAME AND ADDRESS
PLACE WHERE RECORDS ARE KEPT
PHONE
(IF DIFFERENT FROM MAILING ADDRESS)
NAME
(PP11) PHYSICAL LOCATION OF BUSINESS IN WEST VIRGINIA
ADDRESS
(IF DIFFERENT FROM MAILING ADDRESS)
CITY
ADDRESS
STATE
ZIP CODE
CITY
PHONE (
)
EXTENSION
STATE
ZIP CODE
Return is to be filed by ALL Industrial Property owners. The law provides that every incorporated or unincorporated industrial property owner, foreign or domestic, liable
to taxation shall make a report in writing to the State Tax Department. West Virginia Code § 11-1c-10 defines Industrial Property as real and personal property,
integrated as a functioning unit intended for the assembling, processing and manufacturing of finished or partially finished goods.
(PP13)
REPORT OF PROPERTY YOU LEASE FROM OTHERS
This space is provided for the reporting of property "in charge of, but not owned by" the entity completing this form (as Agent, Bailee, Lessee, or other representative
capacity) such as, but not limited to, leased machinery, business or data processing equipment, vending machines, etc. Indicate the name and address of owner, the
property leased, the gross annual rent, and estimated value. Attach additional sheets if needed.
NAME, ADDRESS & PHONE NUMBER
TYPE OF
GROSS ANNUAL
ESTIMATED
TAX DEPT
OF PROPERTY OWNER
PROPERTY
RENT
VALUE
USE
REAL ESTATE
List Real Estate situated in this county as required. The value estimate is your opinion of market value as of July 1, this year.
ITEM 1-DESCRIPTION SHOWN ON LAND
SURFACE
MINERAL
IN
QUANTITY
OWNER'S
OWNER'S
TOTAL
TAX
BOOKS OR TAX STATEMENTS
ONLY
ONLY
FEE
IN ACRES
VALUE LAND
VALUE BLDG
DEPT USE
OWNER'S VALUE
0
0
0
ITEM 2-If you have added or deleted buildings (if deleted, identify as such) whereby the value of the real property has been altered by more than $1,000 since last
return, describe the improvement or deletion and the location. Owner's value should reflect both material and labor. If work is in progress on July 1 of this year, then
report it on Schedule E.
DESCRIPTION OF IMPROVEMENT OR DELETION
LOCATION
OWNER'S VALUE
TAX DEPT USE
(PP13 or pp17)
BUILDINGS ON LEASED LAND
Buildings permanently fixed or intended for permanent fixture to land which is not owned by entity which owns the building(s). The lease must be a contract which
transfers ALL or PART of the right to use of the land, exclusion and disposition from owner to tenant in exchange for a promise to pay rent.
NAME AND ADDRESS OF LAND OWNER
OWNER'S VALUE BUILDING
TAX DEPT USE
NOTE: Other leasehold improvements, to be reported on SCHEDULE A, are improvements and/or additions exclusive of buildings, to leased property which have been made by the
lessee.

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