Nebraska Shedule Ii (Form 775p) - Computer Systems And Certain Peripheral Components

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FORM
NEBRASKA SCHEDULE II – Computer Systems and Certain Peripheral Components
775P
• Use additional pages if necessary. Be sure to number each page in the space provided.
Schedule II
Project Name
Project Location
Date
Date Acquired
Net Book
Model
No. of
Make/Description
Peripheral
Environmentally
Nebraska
Model Number
Recovery Period
Depreciation
Net Book Value
Year
Items
(Lease date, if item is leased.)
Category
Controlled Area?
Adjusted Basis
Mo.
Day
Yr.
Factor
$
% $
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00
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00
6
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00
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11
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15
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16 Total this page (if more than one page is used, total each page separately). Enter the total (of all pages) here and under Summary of
0
Schedule II on the Form 775P ......................................................................................................................................................................... 16 $
00
PLEASE SEND A COPY OF THIS SCHEDULE TO EACH COUNTY ASSESSOR WHERE THE COMPUTER SYSTEMS AND CERTAIN PERIPHERAL COMPONENTS ARE LOCATED.
ATTACH THIS SCHEDULE TO FORM 775P.
Page _____ of _____
96-309-2011 Rev. 5-2012

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