Form 103 Long - Business Tangible Personal Property Assessment Return - 2017 Page 3

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SCHEDULE A-1
FORM 103 - LONG
TANGIBLE PERSONAL PROPERTY
JANUARY 1, 2017
See 50 IAC 4.2-4
CONFIDENTIAL
* * The total cost of special tools, dies, jigs, fixtures, etc., permanently retired equipment; commercial aircraft, and commercial bus line fleet, not subject
to excise tax is to be deducted in full in Column B below. The true tax value of such property is to be computed on the proper Form(s) (103-T, 106
AND 103-I, respectively) and recorded on Line(s) 56, 57 and 58.
ROUND ALL FIGURES BELOW TO THE NEAREST DOLLAR.
YEAR OF ACQUISITION
COLUMN A
COLUMN B
COLUMN C
COLUMN D
POOL NUMBER 1:
TOTAL COST OR
ADJUSTMENTS
ADJUSTED COST
T.T.V.%
TRUE TAX VALUE
(1 TO 4 YEAR LIFE)
BASE YEAR VALUE
** (See Note Above)
13
65
1-2-16 To 1-1-17
14
50
3-2-15 To 1-1-16
15
3-2-14 To 3-1-15
35
16
Prior To 3-2-14
20
$
$
$
$
17
TOTAL POOL NUMBER 1
POOL NUMBER 2: (5 TO 8 YEAR LIFE)
18
40
1-2-16 To 1-1-17
19
56
3-2-15 To 1-1-16
20
42
3-2-14 To 3-1-15
21
32
3-2-13 To 3-1-14
22
24
3-2-12 To 3-1-13
23
18
3-2-11 To 3-1-12
24
15
Prior To 3-2-11
$
$
$
$
25
TOTAL POOL NUMBER 2
POOL NUMBER 3: (9 TO 12 YEAR LIFE)
26
1-2-16 To 1-1-17
40
27
60
3-2-15 To 1-1-16
28
55
3-2-14 To 3-1-15
29
45
3-2-13 To 3-1-14
30
37
3-2-12 To 3-1-13
31
3-2-11 To 3-1-12
30
32
25
3-2-10 To 3-1-11
33
20
3-2-09 To 3-1-10
34
16
3-2-08 To 3-1-09
35
12
3-2-07 To 3-1-08
36
10
Prior To 3-2-07
$
$
$
$
37
TOTAL POOL NUMBER 3
POOL NUMBER 4: (13 YEAR AND LONGER LIFE)
38
40
1-2-16 To 1-1-17
39
60
3-2-15 To 1-1-16
40
63
3-2-14 To 3-1-15
41
3-2-13 To 3-1-14
54
42
46
3-2-12 To 3-1-13
43
40
3-2-11 To 3-1-12
44
34
3-2-10 To 3-1-11
45
29
3-2-09 To 3-1-10
46
25
3-2-08 To 3-1-09
47
3-2-07 To 3-1-08
21
48
15
3-2-06 To 3-1-07
49
10
3-2-05 To 3-1-06
50
5
Prior To 3-2-05
$
$
$
$
51
TOTAL POOL NUMBER 4
52
TOTAL ALL POOLS
NOTE: All Column B adjustments above must be supported on Form 106, Form 103-T, or Form 103-I.
Page 3 of 4

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