Form 62a500 - L - Lessee Tangible Personal Property Tax Return

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62A500 - L (11-15)
FOR OFFICIAL USE ONLY
County Code
Locator Number
Commonwealth of Kentucky
LESSEE TANGIBLE PERSONAL
T
DEPARTMENT OF REVENUE
/
Office of Property Valuation
PROPERTY TAX RETURN
Division of State Valuation, ST 32
(For Informational Purposes Only)
Due Date:
MAY 2016
Monday
S
M
T
W
T
F
S
Property Assessed January 1, 2016
May 16, 2016
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2
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7
Recommended for forms filed on or before due date to:
See pages 11 and 12 for a complete list
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9
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11
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14
of mailing addresses.
File this return with the PVA in the county of taxable situs.
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16
Returns filed after due date with the Office of Property Valuation.
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Social Security No. or
Name of Business
Federal ID No.
Name of Consignee
Telephone Number
2nd SSN if joint return
Mailing Address
City or Town
State
Zip Code
Property is located in
Property Location (Number and Street or Rural Route, City) (Must List)
County
Any person or business entity leasing tangible personal property from others on January 1 is required to file this return on or before May 16, 2016.
DO NOT complete this form if you have included the leased property on your Form 62A500. Attach additional schedules if necessary.
Note : Lessees who have property in more than one location must complete a separate form for each location.
Lessor Information
Leased Equipment Information
Name
Type of Equipment
Mailing
Year
Model
Address
Selling Price New $
Annual Rent $
City, State
ZIP Code
Date of Lease
Length of Lease
For Official
Buy-out Price at the end of Lease $
Use Only
Type of Equipment
Name
Mailing
Year
Model
Address
Selling Price New $
Annual Rent $
City, State
ZIP Code
Date of Lease
Length of Lease
For Official
Buy-out Price at the end of Lease $
Use Only
Type of Equipment
Name
Mailing
Year
Model
Address
Selling Price New $
Annual Rent $
City, State
ZIP Code
Date of Lease
Length of Lease
For Official
Buy-out Price at the end of Lease $
Use Only
I declare, under the penalties of perjury, that this return (including any accompanying schedules and statements) is a correct and complete return; and that all property
not owned by me but in my possession has been listed.
Signature of Lessee
Date
Email Address of Preparer Other Than Lessee
Date
Telephone Number
Email Address of Lessee
Telephone Number
Email Address of Preparer Other Than Lessee

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