Form Pv-Pp-1a - Kansas Personal Property Assessment Form With Instructions - 2004 Page 3

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NOTE: If additional lines are needed, attach supplemental schedules or computer printouts with the same information.
SCHEDULE 1: MOBILE HOMES USED FOR RESIDENTIAL HOUSING
Model
Width x Length
Double or
Single Wide Grade
Condition
County Use
Manufacturer & Model
Year
(do not include hitch)
1.
Yes No
Skirting
Central A/C
Carport
Decks
Skirting and central A/C is included in the base value unless otherwise noted.
Canopies
Other Additions (sheds, etc.)
SCHEDULE 4: MOTOR VEHICLES DESIGNED FOR ROAD USE
Medium And Heavy Duty Trucks, Non Highway Titled Motor Vehicles, Buses etc..
Mod
Tag
Gas
Whl
Brake
Lift
Slpr
AC
Rated
County
Use
Year
air/hyd
Make
Model
Weight
Vehicle ID # (17 digits)
/Dsl
Pwr
Y/N
Y/N
Y/N
Seats
1.
2.
3.
4.
Cab and chassis truck beds should be listed on Schedule 5 or 6. Motor Vehicles with a current registration tag weight of
12,000 pounds or less pay taxes when registered and should not be listed on this return.
SCHEDULE 5: COMMERCIAL & INDUSTRIAL MACHINERY & EQUIPMENT
FOR COUNTY USE
Used
Appraised
Appraised
Year of
Purchased
Age at
Purchase
Factor
Value
Purchase
New/Used?
Purchase
Item
Price
Life
RCWN
Factor
(6)
(7)
(8)
(9)
(10)
(1)
(2)
(3)
(4)
(5)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
Includes trailers, beds of chassis cab trucks, backhoes, forklifts, office furniture, etc., used for commercial purposes.
See Schedule 7 for property belonging to others.
PV-PP-1A (REV 10/04)
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