Form Otc 900xm - Application For Five-Year Ad Valorem Tax Exemption For Oklahoma Manufacturing Or Research & Development Facilities Page 5

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Please indicate property owned at this facility and its value on which qualifying investment is being claimed.
.
Exclude licensed/tagged vehicles.
(USE PAGE 6 WORKSHEET)
ORIGINAL COST OF OWNED
YEAR ACQUIRED OR
OWNED PROPERTY
NEW OR USED
PROPERTY
CONSTRUCTED
LAND
BUILDING
MACHINERY & EQUIPMENT
LEASEHOLD IMPROVEMENT
INTANGIBLE PERSONAL
PROPERTY*
TOTAL INVESTMENT
All cost amounts rendered for machinery or leasehold must be substantiated with itemized lists, giving a
description of the asset, original cost, and year acquired. Please attach the additional pages to this form and
identify as to item or question.
If real or personal property is leased using a lease-purchase agreement, attach a copy of the lease and indicate the
following: (USE PAGE 6 WORKSHEET)
*Intangible personal property is non-taxable in Oklahoma beginning January 1, 2013. Any intangible personal
property that is embedded in the qualifying investment amount must be itemized on page 6. The amount calculated
for reimbursement must not contain any intangible personal property and value. The investment amount will not be
affected only the amount for local reimbursement.
Intangible personal property must be identified, documented,
and valued by the applicant. The Oklahoma Tax Commission reserves the right to request any additional
information
8A.
LEASE REAL AND PERSONAL PROPERTY
CONTRACT PURCHASE AMOUNT
DATE OF TITLE CONVEYANCE
LAND
BUILDINGS
MACHINERY & EQUIPMENT
8A-1
Are lease payments applied to the purchase price?
YES
NO
If no, explain:
EXPLANATION: ___________________________________________________________________
8B.
Is the lease-purchase amount stated in the agreement? YES
NO
If yes, for what amount?
____________________________________
Note 1: If additional space is required for this question, attach an addendum as needed. Specifically list
all leased machinery and equipment by description, model year, and purchase amount.
Note 2: The filing of this application for exemption on certain exempt property does not relieve the
applicant from the responsibility of listing all taxable property with the county assessor.
Note 3:
It will be necessary for Tax Commission personnel to examine the facilities claimed for
exemption.
-3-

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