Form Dr-405 - Tangible Personal Property Tax Return 2001
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1
2Tangible Personal Property Tax Return
Confidential §§193.074 F.S.
As Required by §§193.052 & 193.062 F.S. Return to
County Property Appraiser By April 1 to Avoid Penalties
State of Florida, County of
Business Name (DBA - Doing Business As) and
Mailing Address
Federal Employer Iden. No
_
Social Security Number
_
_
NAICS/SIC
If name and address is incorrect make necessary corrections
This return subject to audit with all records kept by you.
5.
Date you began business in this county:
Fiscal year:
Incomplete entries are subject to penalties.
5a. Although my fiscal year ended prior to December 31 of the past calendar year, this return reflects property
additions and deletions through December 31. Yes___ No___
1.
Please give name and telephone number of Owner or Person in charge of this Business.
6.
Describe Type or Nature of Your Business:
Name
Telephone
Corporate Name
7.
Trade Level (Check as many as apply)
Retail ❑
Wholesale ❑
Manufacturing ❑
2.
Actual Physical Location of Property for Which this Return is Filed (Street Address - Not P.O. Box)
Professional ❑
Service ❑
Agriculture ❑
Leasing/Rental ❑
Other ❑
8.
Did you file a Tangible Personal Property Return in this county last Year? Yes___ No___
3.
Is your business or farm located within the incorporated limits of a City? Yes___ No___
If so, under what name and where?
What City?
4.
Do You File a Tangible Personal Property Tax Return Under Any Other Name? Yes___ No___
9.
Former owner of the Business:
Please Show name Exactly as it Appeared on Your most recent Personal Property Tax Bill or
9a. If Business sold, to whom?
Other Current Tax Return.
Date Sold
Personal Property Summary
Taxpayer’s Estimate of
Original
Appraiser’s
ThIS IS A SUMMARY SChEDULE ONLY. The Schedules on the REvERSE SIDE
Fair Market Value
Installed
Use only
must be completed in detail and TOTALS entered below. ATTACh ITEMIzED LIST or
Cost
DEPRECIATION SChEDULE showing Original Cost & Date of Acquisition.
10. Office Furniture & Office Machines & Library
11. EDP Equipment, Computers, Word Processors
12. Store, Bar & Lounge, and Restaurant Furniture & Equipment, Etc.
13. Machinery and Manufacturing Equipment
14. Farm, Grove, and Dairy Equipment
15. Professional, Medical, Dental & Laboratory Equipment
16. hotel, Motel, & Apartment Complex
16a. Rental Units - Stove, Refrig., Furniture, Drapes & Appliances
17. Mobile home Attachments (Carport, Utility Bldg., Cabana, Porch, Etc.)
18. Service Station & Bulk Plant Equipment - Underground Tanks, Lifts, Tools
19. Signs - Billboard, Pole, Wall, Portable, Directional, Etc.
20. Leasehold improvements must be grouped by type, year of installation and description
21. Pollution Control Equipment
22. Equipment owned by you but rented, leased or held by others
23. Supplies - Not held for Resale
24. Other - Please Specify
TOTAL PERSONAL PROPERTY
Under penalties of perjury, I declare that I have read the foregoing tax return and the accom-
LESS ExEMPTION:
(
) WIDOW
(
) WIDOWER
(
) BLIND
panying schedules and statements and that the facts stated in them are true. If prepared by
(
) TOTAL DISABILITY
(
) OThER
someone other than the taxpayer, the preparer signing this return certifies that this declara-
Taxable value
tion is based on all information of which he/she has any knowledge.
Deputy
Penalty
DATE
TITLE
Please sign and date your return, send the original to the county
SIGNED
appraiser’s office by April 1, unsigned returns cannot be accepted
(TAxPAYER)
by the appraiser’s office.
SIGNED
(PREPARER)
Notice: If you are entitled to a widow’s, widower’s or disability
ADDRESS
exemption on personal property (not already claimed on real estate)
PhONE NO.
PREPARER’S I.D. #
consult appraiser.
DR-405
Schedules on Reverse Side must be completed in Full.
R. 11/01
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