Form 150-553-004 - Confidential Personal Property Return - 2003
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1
22003
2003
CONFIDENTIAL PERSONAL PROPERTY RETURN
(ORS 308.290)
Assessment of Business Furniture/Fixtures/Equipment
If you have no personal property, fill in the section “No Personal
Filing Deadline: March 1, 2003
Property To Report,” sign the Taxpayer’s Declaration, and file this return.
PENALTY—
Maximum penalty for late filing of personal property return is up to 50 percent
of the tax attributable to the taxable personal property. (ORS 308.296)
Code Area
Account Number
FOR ASSESSOR’S USE ONLY
1. Leased or Rented Property
2. Noninventory Supplies
3. Floating Property
4. Libraries
5. All Other Property
6.
7. Total Real Market Value
8. Late Filing Penalty
Make any name or mailing address corrections above. Date changed _______________
TAXPAYER’S DECLARATION
This Return is Subject to Audit
Invalid if not signed. Under the penalties of false swearing in ORS
LOCATION OF PERSONAL PROPERTY ON JANUARY 1, 2003.
305.990(4), I declare that I have examined this return and all
File a separate return for each tax code area (or location). Attach a separate listing if needed.
attachments. All statements made are true. To the best of my
Personal Property Location (street address, city)
knowledge, all taxable personal property I own, possess, or control,
which was in this county as of 1:00
.
., January 1 has been reported.
A
M
Date business originated in county
Type of Business
Name of Firm/Owner
Assumed Business Name of Firm Assessed
Telephone No.
Was a return filed last year?
No
Yes County __________________
(
)
First Time Filer
(See General Information, No. 1)
Mailing Address
Fax No.
(
)
2002 Assessment Cancelled by the Assessor
City
State
ZIP Code
(See General Information, No. 2)
Date
Signature of Person Responsible for Return
Remember to sign the Taxpayer’s Declaration at right
X
Printed Name of Person Signing Return
Title
No Personal Property to Report
(See General Information, No. 3)
Business closed?
Moved out of county?
Date closed:
THIS RETURN IS BEING FILED FOR:
Date moved:
New address:
Business sold?
An Individual
A Partnership (No. of persons ____)
Date of sale:
A Corporation
A Limited Partnership
Name and Address of New Owner
(if business sold)
A Limited Liability Company
A Limited Liability Partnership
Attach a separate list of names and addresses of each individual partner.
Submit your original return and attachments to your county assessor. Keep a photocopy and the attached instructions for your records.
SCHEDULE 1— LEASED OR RENTED PERSONAL PROPERTY
(Do not report real property. Enter “None” if no personal property to report)
3
Payer of
11
1
Name and Address of
2
6
Date
7
8
9
10
AMOUNT OF
Length
Owner’s Opinion of
Original Cost
Assessor’s
Taxes to County
Agree-
No.
LEASE/RENT
of
Second Party Involved
Market Value
Description
RMV
2nd
ment
Agree-
of
(Include model year)
4
5
In Lease/Rent Agreement
Each
Total
(leave blank)
TOTAL
Filer
Month
Yearly
Began
Units
Party
ment
If Schedule 1 items are reported on separate attachments, check here:
Schedule 1 TOTAL:
(Include attachments)
SCHEDULE 2— NONINVENTORY SUPPLIES
(See instructions for examples)
7
6
REPORT TOTAL COST ON HAND AS OF JANUARY 1
Owner’s
Assessor’s
Opinion of
4
5
Other Noninventory
RMV
2
3
1
Maintenance Supplies
Operating Supplies
Spare Parts
General Office Supplies
Supplies
Market Value
(leave blank)
If Schedule 2 items are reported on separate attachments, check here:
Schedule 2 TOTAL:
(Include attachments)
150-553-004 (Rev. 10-02)
RETURNS MARKED ‘SAME AS LAST YEAR’ MAY NOT BE ACCEPTED
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