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

PROPERTY INFORMATION

SCHEDULE F

INCOMPLETE CONSTRUCTION

(PP13 or PP17)

Material costs for these buildings, additions or improvements which are incomplete and hence have not been assessed as real property must be reported here.

A rider must be attached to this statement showing the address of such buildings by year of construction.

DESCRIPTION OF PROPERTY

ACQUISITION

OWNER’S

ASSESSOR’S

COST

VALUE

USE

BUILDINGS, ADDITIONS, OR IMPROVEMENTS NOT FINISHED AT MATERIAL COST

SCHEDULE G

SALVAGE VALUE MACHINERY AND EQUIPMENT

(PP13 or PP17)

This is machinery and equipment which has been fully depreciated and is no longer used as part of a production process. Do not report these items on

“Schedule A”. If you need additional space, please attach a list with acquisition date, acquisition cost and owner’s value.

DESCRIPTION OF PROPERTY

ACQUISITION

OWNER’S

ASSESSOR’S

DATE

COST

VALUE

USE

SCHEDULE H

POLLUTION CONTROL FACILITIES

(PP13 or PP17)

If required, provide additional copies for each location. List all pollution control facilities installed after July 1, 1973 and approved by either the Office of

Water Resources or the Office of Air Quality, both of the Division of Environmental Protection, as a pollution control facility. If the pollution control facility

is not on the pre-approved pollution equipment list, a letter from either the Office of Water Resources or the Office of Air Quality, as the case may be, must

accompany this form.

LOCATION OF PROPERTY

DESCRIPTION OF PROPERTY

YEAR

ACQUISITION

ASSESSOR’S

INSTALLED

COST

USE

OTHER INFORMATION REQUIRED WITH THIS RETURN

Type of Business Entity (Check One): Corporation

Partnership

Sole Proprietor

Other: ________________________________

Description of Business Activity: _______________________________________________________________________________________________

Enter Federal Employers Identification Number (FEIN) REQUIRED: _______________________________________________________________

Business Registration Account ID: ____________________________________________________________________________________________

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

DEPRECIATION SCHEDULE Attached?

Yes

(Explain) _________________________________________________________

BALANCE SHEET Attached?

Yes

(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 County Assessor may reject this return. If you need forms or assistance, contact the County Assessor.

I, ___________________________________________________________, (president, treasurer, manager, owner or other title) ____________________

of ________________________________________________________________, do affirm that the information on this return, to the best of my knowledge

and judgment, 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 sixty-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 ____________________________________________________ Title ______________________________________ Date _____/______/_____