Form 102 - Farmer'S Tangible Personal Property Assessment Return - 2016

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FARMER'S TANGIBLE PERSONAL

FORM 102

JANUARY 1, 2017

PROPERTY ASSESSMENT RETURN

For Assessor's Use Only

PRIVACY NOTICE

State Form 50006 (R17 / 11-16)

This form contains information

confidential pursuant to IC 6-1.1-35-9.

Prescribed by the Department of Local Government Finance

NOTE: For taxpayers with less than $20,000 cost to report within the county, legislation was passed in 2015 which exempts this property. If you are

declaring this exemption, check this box, enter the total acquisition cost of your personal property in the county, and complete only sections I and IV of this

form. If you are declaring this exemption through this form, you do not need to file a Form 104.

$ ________________________

RETURN THIS FORM TO THE APPLICABLE ASSESSOR BY MAY 15, 2017.

An exemption granted under IC 6-1.1-10 or any other statute supersedes this exemption. In other words, a taxpayer whose personal property is exempt

because the taxpayer applied for and was granted an exemption by the county must follow all applicable procedures for the approved exemption, which

may include fully completing the personal property return.

INSTRUCTIONS:

This form must be filed with the Township Assessor, if any, or County Assessor of the county in which the property is located not

later than May 15, 2017, unless an extension of up to thirty (30) days is granted in writing. Please type or print. A Form 104 must be filed

with this return. Contact information for the Assessor is available at

SECTION I

Name of taxpayer

Federal Identification number **

Name under which business is conducted

DLGF taxing district number

Address where property is located (number and street, city, state, and ZIP code)

DLGF taxing district name

Type of operation (grain, dairy, etc.)

NAICS Code number *

Township

Name and address to which Assessment and Tax Notice is to be mailed (If different than above)

County

SECTION II

1. Did you own, hold, possess or control any leased or other Depreciable Personal Property on January 1?

If yes, report it on Page 3 or file the Form 103-N or 103-O (See 50 IAC 4.2-8-3 & 4).

Yes

Note: Failure to properly disclose lease information may result in a double assessment.

2. Total number of acres operated

Total number of acres owned

Total number acres leased or rented

Total number acres farmed on share basis

Name and address of owner(s) of land share on rent basis

3. Type of farm: Livestock:

Specify other livestock:

Dairy

Beef

Hogs

Feeder Pigs

Other

Corn

Soybeans

Wheat

Specify other (Grains, Forage, Etc.):

GRAIN: Total number of acres

raised previous year.

4. Was any land removed from production since the last assessment date?

Number of acres

Land Is now used for:

Yes

* NAICS - North American Industry Classification System - A complete list of codes may be found at .

NOTE: The NAICS Code Number appears on your federal income tax return.

** An individual using his/her Social Security number as the federal identification number is only required to provide the last four (4) digits of that number. IC 4-1-10-3

In completing a personal property return for a year, a taxpayer must make a complete disclosure of all information relating to the value, nature or location of personal property

owned, held, possessed or controlled on the assessment date. [IC 6-1.1-3-9 (a)].

Failure to file a return on or before the due date as required by law will result in the imposition of a twenty-five dollar ($25) penalty. In addition, if return is not filed within thirty

(30) days after such return is due, a penalty equal to twenty percent (20%) of the taxes finally determined to be due with respect to the property which should have been

reported will be imposed. A personal property return is not due until the expiration of any extension period granted by the Township Assessor or County Assessor under IC

6-1.1-3-7(b). If the total assessed value that a person reports on a personal property return is less than the total assessed value that the person is required by law to report and

if the amount of the undervaluation exceeds five percent (5%) of the value that should have been reported on the return, then the County Auditor shall add a penalty of twenty

percent (20%) of the additional taxes finally determined to be due as a result of the undervaluation.

This information would include, but not be limited to, completion of the heading and related information, and answers to all questions on the face of the return, and entries on all

of the appropriate lines of Schedule A. If such information is not provided, the taxpayer will be contacted and directed to provide that information. In addition, a penalty of twenty

five dollars ($25) shall be imposed. [IC 6-1.1-37-7(d)]

SECTION III

SUMMARY (round all numbers to nearest ten dollars)

REPORTED BY TAXPAYER

CHANGE BY ASSESSOR

CHANGE BY THE COUNTY BOARD

SCHEDULE A - PERSONAL PROPERTY

FINAL ASSESSED VALUE

SIGNATURE AND VERIFICATION

SECTION IV

Under penalties of perjury, I hereby certify that this return (including any accompanying schedules and statements), to the best of my knowledge and belief, is true, correct, and

complete; if applicable, reports all tangible personal property subject to taxation owned, held, possessed or controlled by the named taxpayer in the stated township or taxing district

on the assessment date, as required by law; and is prepared in accordance with IC 6-1.1 et seq., as amended, and regulations promulgated with respect thereto.

Date (month, day, year)

Signature of authorized person

Printed name of authorized person

Title

Telephone number

Signature of person preparing return, if different than authorized person

(

)

Printed name and contact information of preparer

E-mail address

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