Form Otc 904-A - Schedule 3-A - Asset Listing (Grouped)
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State of Oklahoma
Tax Year
OTC
Asset Listing (Grouped)
904-A
Taxpayers filing in _____________________________ County: Must complete this schedule
Schedule 3-A
listing like or similar items grouped by description, year of acquisition, original cost and class. This
schedule to be filed with completed OTC Form 901 rendition.
Revised 7-2012
Name of Business: ____________________________________________________________________________________
Address: ____________________________________________________________________________________________
Personal Property Account Number: _______________________________________
Report Only Tangible Assets
Assessors Use Only
Year Acquired
Description
Item
Original
Life
%
Factor
RCNLD
Number
Cost
Years
Good
Leasehold Improvements
New
Used
TOTAL
TOTAL
Item
Original
Life
%
Year Acquired
RCNLD
Factor
Furniture and Fixtures
Number
Cost
Years
Good
New
Used
TOTAL
TOTAL
Item
Original
Life
%
Year Acquired
Factor
RCNLD
Electronic Equipment
Number
Cost
Years
Good
New
Used
TOTAL
TOTAL
Item
Original
Life
%
Year Acquired
RCNLD
Factor
Computer Equipment
Number
Cost
Years
Good
New
Used
TOTAL
TOTAL
Item
Original
Life
%
Year Acquired
RCNLD
Factor
Machinery and Equipment
Number
Cost
Years
Good
New
Used
TOTAL
TOTAL
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Parent category: Financial