Form 632 - Personal Property Statement - 2013 Page 5

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Form 632, Page 5
Instructions for Completing Form 632 (L-4175), 2013 Personal Property Statement
Parcel No.: Unless this is an initial filing, you have already been
NOTICE: This form is issued under authority of the General Property
Tax Act. Filing is mandatory. Failure to file may result in imprisonment
assigned a parcel number. If you are using a form not provided by the
assessor, you must insert the correct parcel number. Failure to insert
for a period not less than thirty days, nor more than six months;
a fine not less than $100, nor more than $1,000; or both fine and
your parcel number may result in a duplicate assessment.
imprisonment at the discretion of the court. See MCL 211.21.
Square Feet Occupied: Insert the number of square feet of space
CAUTION: Read these instructions carefully before completing the
occupied by the taxpayer at the location(s) reported.
form. Complete all sections. Because this form has been coded, it
Michigan Sales Tax No.: Insert the taxpayer’s Michigan Sales Tax
is imperative that it be returned to assure proper processing. If all of
Number.
the personal property formerly in your possession has been removed
Preparer’s Name and Address: Insert the name, address, telephone
from this assessing unit before December 31, 2012, you must notify
number and e-mail address of the person who has prepared this
the assessor at once in order to change the records accordingly.
statement.
This statement is subject to audit by the State Tax Commission, the
(Check One): Check the appropriate box indicating the form of legal
Equalization Department or the Assessor. Failure to file this form by
organization used by the taxpayer in conducting its business. If the
its due date will jeopardize your right to file a Section 154 appeal
taxpayer is organized as a corporation or a limited liability company,
with the State Tax Commission. You are advised to make a copy of
insert the Michigan corporate identification number of the business or,
the completed statement for your records. This form must be filed in the
if not authorized to do business in Michigan, the name of the state in
city or township where the personal property is located on December
31, 2012. Do not file this form with the State Tax Commission unless
which it is organized.
you have been specifically instructed to do so by the Commission’s
Location(s) of Personal Property: List the street addresses of all
locations that are being reported on this statement. Locations in
staff.
different school districts or lying within the boundaries of designated
Although you must complete all sections of this form, you are not
authorities or districts must be reported separately. All personal
required to file pages that do not contain any reported cost. You must,
however, insert a zero entry in the appropriate line(s) 10, 11 and/or 12
property at a given location in the same authority or district must
be reported under one account, unless the assessor has directed
of the “Summary and Certification” on page 1 to indicate that you have
otherwise. You must file a separate statement for property on which
no costs to report for that page; you must complete and file section O
the tax is abated pursuant to P.A. 198 of 1974 (I.F.T.) or P.A. 328 of
if you are a landlord, a lessee or a sublessee. In completing this form,
1998 (certain new personal property).
you may not use attachments in lieu of completing a section, unless the
instructions specifically authorize the use of attachments for completing
Date of Organization: Insert the date that the taxpayer’s business was
first organized or commenced.
the section.
FACSIMILE SIGNATURES: This form must be signed at the bottom
Date Business Began at Above Location: Insert the date that the
of page 1.
A facsimile signature may be used (P.A. 267 of 2002),
taxpayer first commenced business at a location reported on this
provided that the person using the facsimile signature has filed with the
statement.
Assessment and Certification Division of the Department of Treasury
Assumed Names: State any assumed names used by the taxpayer in
a signed declaration, under oath, using Form 3980. This form can be
conducting its business at the location(s) reported.
obtained by writing the Assessment and Certification Division at P.O.
Names of Owners or Partners: If the taxpayer is a sole proprietorship
Box 30790 Lansing MI 48909-8290. A facsimile signature is a copy or
or a partnership, list the name(s) of the proprietor or partners.
a reproduction of an original signature.
If Sole Proprietorship, Taxpayer’s Residential Address: Insert sole
GENERAL EXPLANATION: The Michigan Constitution provides
proprietor’s actual residence address. Do not use mailing address, if
for the assessment of all real and tangible personal property not
exempted by law. Tangible personal property is defined as tangible
different than residence address.
property that is not real estate. Form L-4175 is used for the purpose
Legal Name of Taxpayer: Insert the taxpayer’s exact legal name.
of obtaining a statement of assessable personal property for use in
Address Where Personal Property Records Are Kept: Insert the
making a personal property assessment. Michigan law provides that
address where the records used to complete this statement are kept.
the assessor must send Form L -4175 to any person or entity that may
Only insert the address of an agent if that agent has actual possession
possess assessable personal property. Michigan law also provides
of all documents necessary to conduct an audit.
that a person or entity receiving Form L-4175 must complete it and
Name of Person in Charge of Records: Insert the name of the
return it to the assessor by the statutory due date, even if they have
person at the address where the records are kept who has actual
no assessable property to report. If you had assessable personal
control of the documents necessary to conduct an audit.
property in your possession on December 31, 2012, you must submit
Telephone No.: Insert the telephone number of the person having
a completed Form L-4175 to the assessor of the community where the
charge of the records used for filing.
property is located by the statutory due date, even if the assessor does
not send you a form to complete.
Description of Taxpayer’s Business activity: Insert a descriptive
phrase indicating the nature of the taxpayer’s business activity and
COMPLETION OF FORM 632 (L-4175)
NAICS Code.
Page 1 - Statistical Information:
Page 1 – Summary and Certification:
FROM: Insert name and address of the assessor if you are using a
Page 1, Line 1: “Special Tools” are exempt from taxation,
form not provided by the assessor. Often this form must be filed at
pursuant to MCL 211.9b. If you are excluding “special tools” from
an address different than the assessor’s mailing address for other
your statement, you must check “Yes” and insert the amount
purposes. It is your responsibility to assure that this form is sent to
of original cost excluded. “Special tool” means a finished or
the correct address. If you are unsure of the mailing address, call your
unfinished device such as a die, jig, fixture, mold, pattern, special
local assessor or county equalization department.
gauge, or similar device, that is used, or is being prepared
TO: If you are not using a preprinted form, insert your name and
for use, to manufacture a product and that cannot be used
address. Use the address at which you wish to receive future forms
to manufacture another product without substantial modification of
and tax billings. If your form is preprinted with an incorrect address,
the device. As used herein, a “product” can be a part, a special tool,
line out the incorrect portions and insert the corrections.
a component, a subassembly or completed goods. “Special tools”
do not include devices that differ in character from dies, jigs, fixtures,

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