Fillable Form Stc 12:32i - Industrial Business Property Return (Page 4 of 4) in pdf

PROPERTY INFORMATION

VEHICLES (PP16), TRAILERS, BOATS, AIRCRAFT (PP13 OR PP17), MOBILE HOMES (CA12, CA24 & PP13) & ROLLING STOCK (PP 16)

SCHEDULE I

(Provide Additional Copies For Each Location)

Property Location (Address, City, Zip Code): ____________________________________________________________________________________________

List only those properties licensed in the name of the business as shown on Page 1. Property you are leasing must be reported on Page 1 in the section titled REPORT OF PROPERTY YOU LEASE FROM

OTHERS. Properties disposed of after July 1 are taxable for the year and must be listed below. If needed, attach additional sheets. If vehicles are assigned to company employees or officers, then provide

name and address. Vehicle Identification Numbers (VIN) can be found on the Registration Card. (DO NOT REPORT TRUCKS/TRACTORS THAT HAVE APPORTIONED LICENSE PLATES ON THIS

RETURN.)

TRUCK GROSS

ACQ.

VEHICLE IDENTIFICATION

LICENSED PROPERTY

VEHICLE WEIGHT

DATE

COST

OWNER'S VALUE

TAX DEPT USE

NUMBER (VIN)

MAKE

MODEL

YEAR

NON-LICENSED

TRUCK GROSS

ACQ.

MOBILE HOME DIMENSIONS, VIN

PROPERTY

VEHICLE WEIGHT

DATE

COST

OWNER'S VALUE

TAX DEPT USE

MAKE

MODEL

YEAR

OR AIRCRAFT

ACQ.

ROLLING STOCK

OPTIONS

DATE

COST

OWNER'S VALUE

TAX DEPT USE

SERIAL NUMBER

MAKE

MODEL

YEAR

If additional space is needed for Rolling Stock, please use "Itemized Rolling Stock Report".

West Virginia Code Chapter 11, Article 6H provides that the value of special aircraft property shall be its salvage value. Special aircraft is defined as "all aircraft owned or leased by commercial airlines or

private carriers". Private carrier means "any firm, partnership, joint venture, joint stock company, any public or private corporation, cooperative, trust, business trust or any other group or combination acting as

a unit that is engaged in a primary business other than commercial air transportation that operates an aircraft for the transportation of employees or others for business purposes". If you have reported aircraft

on "Schedule I" which you believe to be a special aircraft property, enter the dollar value of the aircraft at 100% of acquisition cost.

Acquisition Cost: $_____________________

Owner's Value: $_____________________________

Tax Dept. Use:_____________________

OTHER INFORMATION REQUIRED WITH THIS RETURN

Type of Business Entity (Check One): Corporation______ Partnership ______ Sole Proprietor______ Other_____________________________________________________________________________

Description of Business Activity:

Please enter Federal Employers Identification Number (FEIN):

Business Registration Account ID:

Please insert North American Industry Classification System Code (NAICS) if known:

DEPRECIATION SCHEDULE ATTACHED? Yes_______ NO_______ (Explain)

BALANCE SHEET ATTACHED?

Yes_______ NO_______ (Explain)

In lieu of a balance sheet, a Profit or Loss Statement (Schedule C) from your Federal Income Tax Return may be submitted. Failure to attach these items will be grounds upon which the State Tax Department

may reject this return. If you need forms or assistance, contact the State Tax Department

I, _________________________________________________________________________, (president, treasurer, manager, owner or other title) _______________________________ of

____________________________________________________________________ do affirm that the information on this return, to the best of my knowledge and judgement, is true in all

respects; that it contains a statement of all the real estate and personal property, including credits and investments belonging to the business; that the value affixed to such property is, in my

opinion, its true and actual value, by which I mean the price at which it would sell if voluntarily offered for sale on such terms as are usually employed in selling such property, and not the price

which might be realized at a forced or auction sale; and said business has not, to my knowledge, during the 60-day period immediately prior to the first day of the assessment year converted any

of its assets into nontaxable securities or notes or other evidence of indebtedness for the purpose of evading the assessment of taxes thereon.

Signed _____________________________________________________________________________________________________

Date _____/_____/_________

STATE TAX DEPARTMENT USE ONLY

________________________________________________________________________________________________________________________