Form L-4175 - Personal Property Statement - 2000 Page 4
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Section L - Detail of Leases (This Section is Completed by Leasing Companies)
Equipment that you lease to others should be reported under this section. To be completed by leasing companies. Notice: You
must also complete Sections A - F on Page 2. See instructions. You may use attachments in lieu of completing this section if the
attachments contain the information requested below, in the same format, and if you complete the Tables on Page 2. Attach additional
sheets, if necessary.
Are you a manufacturer of equipment?
Yes
No
Location of
Type of
Lease
Monthly
1st Year
Manufacturer
Original
Lease No.
Name & Address of Lessee
Equipment
Equipment
Period (Mo.)
Rental
in Service
Cost
Selling Price
$0.00
Total Original Selling Price
Section M - Leasehold Improvements (Of Both a Real Property and a Personal Property Nature)
All Leasehold Improvements that you have made at your place of business should be reported under this section, even if you
believe that the improvements are not subject to assessment as Personal Property. Provide as much detail as possible so that
the assessor can determine whether an assessment should be made. You may attach additional explanation and/or you may attach
copies of "fixed asset" records, if the documents attached provide all of the information requested below and if you insert the total
original cost in "Total Cost Incurred" below. Any Personal Property reported in this section should not be reported elsewhere on form
L-4175.See instructions.
STC
True Cash Value
Year Installed
Description (Describe in detail)
Original Cost
Multiplier
Assessor's Calculation
$0.00
M-1
M-2
Total Cost Incurred
Section N - Buildings and Other Structures on Leased or Public Land
Freestanding Communications Towers and Freestanding Billboards must also be reported under this Section.
Check this box if you believe that these buildings are already assessed as part of the real property
Any Personal Property reported in this section should not be reported elsewhere on form L-4175. Attach additional sheets, if
necessary.
Year Originally
Total Capitalized
True Cash Value
Address or Location of Building
Built
Cost
Assessor's Calculation
$0.00
N-1
N-2
Total Capitalized Cost
Section O - Rental Information - See Instructions. (Attach additional sheets, if necessary)
IF YOU ARE THE TENANT
Name and address of landlord _________________________________________________________.
Is your landlord the owner of the property?
Yes
No If you are a sub-lessee, what is the name and address of the
owner of the property ________________________________________________________________________________________.
IF YOU ARE THE LANDLORD - Name and address of tenant ________________________________________________________.
Are you the owner of the property?
Yes
No If you are a sublessor, what is the name and address of the owner
of the property __________________________________________________________________.
TO BE COMPLETED REGARDLESS OF WHETHER YOU ARE THE LANDLORD OR TENANT
Address of property rented or leased _____________________________________________________________________.
Date that current lease or rental arrangement started ______________. Date current lease will expire, if other than a month to
month tenancy ________________. What is the monthly rental? $__________________
Are there options to renew the lease?
Yes
No
What expenses (e.g. taxes, electric, gas, etc.) does the tenant pay? _________________________________________________
How many square feet of space are being occupied by the tenant? ______________
Assessor Value
O-2
Cost Grand Total (For Page 4)
True Cash Value Grand Total (For Page 4)
Taxpayer: Add Total Cost Incurred from
Assessor: Add True Cash Value
Section M and Total Capitalized Cost
Taxpayer
Assessor
totals Sections M - O (M-2 through
from Section N (M-1 and N-1) and enter
O-2) and enter grand total here. This
grand total here. This grand total should
0.00
$
grand total True Cash Value should
$
be carried to line 12a, page 1.
be carried to line 12b, page 1.
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