Form 103 Long - Business Tangible Personal Property Assessment Return - 2017 Page 2

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SECTION V
FORM 103 - LONG
TANGIBLE PERSONAL PROPERTY
SCHEDULE A
See 50 IAC 4.2-4
CONFIDENTIAL
JANUARY 1, 2017
Federal Identification Number
Line
Report all personal property assessable to this taxpayer below. (Round all figures below to nearest dollar)
1
Total cost of tangible depreciable personal property. (50 IAC 4.2-4-2)
$
2
Adjustment to federal tax basis per Form 106. (50 IAC 4.2-4-4)
3
Total cost and base year value of tangible depreciable personal property. (Line 1 plus 2)
$
Deduct Exempt Property (See 50 IAC 4.2-11.1)
COST
4
Stationary industrial air purification systems. (Attach Form 103-P)
$
5
Industrial waste control facilities. (Attach Form 103-P)
6
Enterprise information technology equipment. (Attach Form 103-IT)
Number of Units
7
Vehicles / airplanes subject to excise tax.
$
Total cost of exempt property (Deduct from Line 3 and enter on Line 8)
8
Subtotal
$
Additions: See 50 IAC 4.2-1-1.1 and 50 IAC 4.2-4-3(b) and 4
9
Cost of all depreciable personal property still in use but written off. (50 IAC 4.2-4-3(b))
$
10
Cost of installation and foundations applicable to depreciable personal property. (50 IAC 4.2-4-2(d))
Cost of interest incurred during construction and installation applicable to depreciable personal property.
11
(50 IAC 4.2-4-3(j))
Total cost and base year value of assessable depreciable personal property.
12
(add Lines 8, 9, 10 and 11. Line 12 must agree with Line 52 Column A)
$
TOTAL COST
ADJUSTMENTS
ADJUSTED COST
POOLING SUMMARY
TRUE TAX VALUE
COLUMN A
COLUMN B
COLUMN C
(From Schedule A-1 or Form 103-P5)
COLUMN D
52
Total All Pools
$
$
$
$
30% of Adjusted Cost (Line 52, Column C) (enter zero (0) if filing 103-P5
53
$
and entity is a qualified steel mill or oil refinery per IC 6-1.1-3-23).
54
Greater of Lines 52D or 53.
$
Adjustments to True Tax Value
Cost
Equipment not placed in service and/or critical
55
X 10%
$
spare parts (50 IAC 4.2-6-1 & 6) per Form 106.
Cost
56
Tools, dies, jigs, fixtures, etc., per Form 103-T. (50 IAC 4.2-6-2)
$
$
Cost
Permanently retired equipment (50 IAC 4.2-4-3) and/or returnable
57
$
containers (50 IAC 4.2-6-4) per Form 106.
$
Cost
Commercial aircraft and commercial bus line fleet, not subject to excise tax per
58
$
Form 103-I. (50 IAC 4.2-10)
$
59
Total additions to True Tax Value. (Lines 55, 56, 57 and 58)
$
60
Total True Tax Value before adjustments for "Abnormal Obsolescence." (Line 54 plus Line 59)
$
61
Abnormal Obsolescence Adjustment per Form 106. (50 IAC 4.2-4-8)
$
62
Total True Tax Value of personal property. (To page 1, Form 103 Summary)
$
Page 2 of 4

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