Form 50-288 - Lessor'S Rendition Or Property Report For Leased Automobiles Page 3

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P r o p e r t y T a x
L e s s o r ’ s R e n d i t i o n o r P r o p e r t y R e p o r t f o r L e a s e d A u t o m o b i l e s
Form 50-288
_________________________
__________________
____________________
______________________________
Vehicle Identification Number
Year
Make
Body Style/Type
_________________________
__________________
____________________
______________________________
Model
Weight***
Lease Date
Purchase Date
______________________________________________________________________
___________________________
Name of Lessee
Phone (area code and number)
___________________________________________________________________________________________________
Address Where Vehicle is Kept
______________________________________________________________________
___________________________
City, State, ZIP Code
County
Has the lessee signed an affidavit designating the vehicle as not held for income production and not used
for the production of income?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
Has the property owner maintained the lessee’s affidavit? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
_________________________
Property Owner’s Value Estimate (optional)*
_________________________
__________________
____________________
______________________________
Vehicle Identification Number
Year
Make
Body Style/Type
_________________________
__________________
____________________
______________________________
Model
Weight***
Lease Date
Purchase Date
______________________________________________________________________
___________________________
Name of Lessee
Phone (area code and number)
___________________________________________________________________________________________________
Address Where Vehicle is Kept
______________________________________________________________________
___________________________
City, State, ZIP Code
County
Has the lessee signed an affidavit designating the vehicle as not held for income production and not used
for the production of income?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
Has the property owner maintained the lessee’s affidavit? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
_________________________
Property Owner’s Value Estimate (optional)*
_________________________
__________________
____________________
______________________________
Vehicle Identification Number
Year
Make
Body Style/Type
_________________________
__________________
____________________
______________________________
Model
Weight***
Lease Date
Purchase Date
______________________________________________________________________
___________________________
Name of Lessee
Phone (area code and number)
___________________________________________________________________________________________________
Address Where Vehicle is Kept
______________________________________________________________________
___________________________
City, State, ZIP Code
County
Has the lessee signed an affidavit designating the vehicle as not held for income production and not used
for the production of income?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
Has the property owner maintained the lessee’s affidavit? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
_________________________
Property Owner’s Value Estimate (optional)*
_________________________
__________________
____________________
______________________________
Vehicle Identification Number
Year
Make
Body Style/Type
_________________________
__________________
____________________
______________________________
Model
Weight***
Lease Date
Purchase Date
______________________________________________________________________
___________________________
Name of Lessee
Phone (area code and number)
___________________________________________________________________________________________________
Address Where Vehicle is Kept
______________________________________________________________________
___________________________
City, State, ZIP Code
County
Has the lessee signed an affidavit designating the vehicle as not held for income production and not used
for the production of income?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
Has the property owner maintained the lessee’s affidavit? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
_________________________
Property Owner’s Value Estimate (optional)*
For more information, visit our website:
50-288 • 01-12/3 • Page 3

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