Form 4452 - Cellular (Wireless) Site Equipment Personal Property Report - 2012 Page 2

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Form 4452, Page 2
PART B: CELLULAR TELEPHONE ELECTRONIC AND OPTICAL SWITCHING AND ROUTING EQUIPMENT
You must complete the "Historic Cost New" column, and, if necessary, the "Move-Ins" column. See the instructions to Form 3966 to
determine whether you have "Move-Ins" to report.
NOTE: Power equipment, including electrical bays and generators, should be reported in Section B.
All electronic equipment including antennas (which are different than towers), signal transmission and reception equipment, filter and
amplification electronics, voice activated radios, multiplexers, repeaters, switching equipment, cabling and conduits, and cable and
wiring connections should be reported using this table.
Assessor
Assessor
Historic Cost
Historic Cost
Year
Move-Ins
Year
Move-Ins
Calculations
Calculations
New
New
2011
.77
2005
.08
2010
.48
2004
.05
2009
.35
2003
.04
2008
.25
2002
.04
2007
.20
Prior
.04
2006
.14
TOTAL COST (for Part B)
0.00
PART C: COMMUNICATION TOWER AND RELATED FACILITIES
Yes
No
Is the equipment reported in Part B above located on a communication tower?
Yes
No
If your answer to the previous question was "yes", do you own the tower?
If you are not the owner of the communication tower, provide the following information for the owner:
Name
Telephone Number
Contact Person
Address
Complete the following if you are the owner of the tower or have installed land improvements (including equipment and buildings):
4. Did you hire a company to construct or supervise
Type of Tower (lattice, monopole or guyed)
2. Height of Tower (in feet)
3. Year Built
the construction of the tower for you?
Cost of Tower by Category of Cost (See instructions to Form 3594 for a list of the types of costs which must be included):
Soil borings and testing
Site development
Were any unusual circumstances encountered
Foundations (including installation)
in the construction of this tower which would
cause the costs to be unusually high or low?
Tower (steel and equipment*)
Tower (installation and erection)
Yes
No
Fence and Building
If yes, explain.
Administrative and overhead
Other (please specify)
0.00
TOTAL COST (for Part C)
If you have capitalized costs for this site in a vintage year different than the year the tower was originally built, attach an itemization of
costs by type and vintage year.
ASSESSOR: TRUE CASH VALUE GRAND TOTAL
- - Add True
Cash Value totals from Parts A and B. Carry to line 16b of Form 632 (L-4175)
TAXPAYER: GRAND TOTAL COST
- - Add cost totals from
Part C Costs relate to real property and should be addressed as provided for in
Parts A, B and C. Carry to line 16a of Form 632 (L-4175).
STC Bulletins 8 of 2002 and 1 of 2003.
0.00
CERTIFICATION
The undersigned certifies that he/she is an owner, officer and/or duly authorized agent for the above named taxpayer and that the
above report, with its supporting documents, provides a full and true statement of all tangible personal property owned or held by the
taxpayer at the location listed above on December 31, 2011.
Signature of Certifier
Date

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