Form 4798 - Automotive Manufacturing Equipment Personal Property Report

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Michigan Department of Treasury

4798 (Rev. 10-13)

Automotive Manufacturing Equipment Personal Property Report

Issued under authority of Public Act 206 of 1893.

INSTRUCTIONS: When completed, please attach this form to your L-4175 Personal Property Statement and submit it to the local unit assessor

by February 20, 2014. Read Instructions carefully. Spreadsheets submitted should be printed and attached to a completed copy of this form.

Parcel Number

FROM: (Name and Address of Assessor)

TO: (Name and Address of Taxpayer)

AUTOMOTIVE MANUFACTURING EQUIPMENT PERSONAL PROPERTY REPORTING TOTALS

1. Part A: Presses and Transfer Machines ............................................................................................................. 1.

2. Part B: Robots and CNC Equipment .................................................................................................................. 2.

3. Part C: Paint Systems and Conveyor Systems .................................................................................................. 3.

4. Part D: Support Equipment................................................................................................................................. 4.

0.00

5. Totals of Parts A, B, C, and D .........................................................................................................................

The total of Parts A, B, C and D are to be carried to the first page of Form 632, Personal Property Statement. Report the total under the “Assessor’s

Adjustment(s)” column labeled as Automotive Property.

CERTIFICATION

The undersigned certifies that he/she is an owner, officer and/or the duly authorized agent for the above named taxpayer and that completion of this

form, with its supporting documents, provides a full and true statement of all tangible automotive manufacturing equipment personal property owned or

held by the taxpayer at the location listed on this form on December 31, 2013.

Signature of Individual Certifying this Statement

Date