Form L-4175 - Personal Property Statement - 2000 Page 3
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Michigan Department of Treasury
Parcel No.
632 (7-99)
L-4175
Section G - Other Assessable Personal Property Which You Own
Assessable Tangible Personal Property in your possession that is not entitled to depreciation under Generally Accepted Accounting
Principals (e.g. fine art) or that is not reported elsewhere on form L-4175 should be reported under this section. Any Personal Property
reported in this section should not be reported elsewhere on form L-4175. See instructions. Attach additional sheets, if necessary.
Description of
Acquisition
Acquisition
True Cash Value
Property
Cost New
Year
Assessor's Calculations
$0.00
Total Acquisition Cost New
G-1
G-2
Section H - Assessable Tooling
Acquisition
Acquisition
GAAP
You must report your assessable tooling in this Section. Any Personal
Year
Cost New
Net Book Value
Property reported in this section should not be reported elsewhere on
1999
form L-4175. See Instructions.
1998
1997
Prior
$0.00
$0.00
Total Acquisition Cost
H-1
H-2
Section I - Qualified Personal Property
INCLUDE ONLY "Qualified Personal Property" as defined by Michigan Compiled Laws 211.8a (6)(c). See instructions. Attach extra
schedules, if necessary, following the same format as below. Any Personal Property reported in this section should not be reported
elsewhere on form L-4175.
Description of Equipment
Owner Name and
Original Cost
Date of
Lease Term
Year of
Total Average
TCV to be Completed
%
and Model or Serial Number
Complete Mailing Address
Installed
Installation
In Months
Manufacture
Monthly Rental
by Assessor
$0.00
I-1
I-2
Total Installed Cost
Section J - Leased Property in Your Possession Which is not Qualified Personal Property
Property you are leasing from another person or entity should be reported under this section. "Qualified" Personal Property
should be reported under Section l. See instructions. Attach additional sheets if necessary. Any Personal Property reported in this
section should not be reported elsewhere on form L-4175.
Lease Term
Monthly
1st Year
Selling Price New
Lease No.
Name & Address of Lessor
Description of Equipment
(in months)
Rental
in Service
(estimate, if necessary)
0
Total Selling Price New
J-1
Section K - Other Personal Property in Your Possession Which You Do Not Own
Property not owned by you but in your possession on December 31, 1999 under arrangements other than a lease agreement
should be reported under this section. See instructions. Any Personal Property reported in this section should not be reported
elsewhere on form L-4175. Attach additional sheets if necessary.
Age (estimate if
Selling Price New
Name & Address of Owner
Description of Equipment
necessary)
(estimate, if necessary)
$0.00
Total Selling Price New
K-1
Cost Grand Total (For Page 3)
True Cash Value Grand Total (For Page 3)
Taxpayer: Add Total Costs and
Assessor: Add True Cash Value
Selling Prices from Sections G - K
totals from Sections G - I (G-2 through
Taxpayer
Assessor
(G-1 through K-1) and enter grand
I-2) and enter grand total here. This
total here. This grand total should
grand total True Cash Value should
0.00
also be carried to line 11a, page 1.
$
be carried to line 11b, page 1.
$
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