Tax Year: 2014
Owner Name: _______________________________________
Address: ___________________________________________
Assessment Code: ___________________________________
County: ____________________________________________
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Billboards / Car Wash Equipment / Chairs, including medical and dental / Desks / File Cabinets / Garbage Containers / Gas Pumps / Mortuary Equipment /
Photo Developing Equipment / Pictures / Porta-potties / Safes / Security Alarm Systems / Shelving / Stereo Equipment / Survey Equipment / Tables, includ-
ing medical and dental / Theater Furniture and Equipment / Miscellaneous Furniture and Fixtures
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Tools, handheld / Tools, non-handheld (compressors, jacks, welders, etc.) used for repair or maintenance, including, but not limited to, automobile repair,
jewelry and offi ce machine repair and tools used by carpenters, electricians, plumbers, contractors, etc.
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Citizen Band Radios / Mobile, Cellular Telephones
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Cable TV Miles of Coaxial Cable / Cable Service Drops / Towers / Dishes / All other Cable TV Equipment
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Theater Projectors and Sound Equipment / Radio, Television Broadcasting Equipment
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Ski Lift Equipment, including, but not limited to, aerial lifts, surface lifts, portable lifts and tows, towers, cables, ropes, sheave assemblies, conveying de-
vices, power units and accessories
Furniture, Fixtures and Miscellaneous Equipment
Write in the physical address of the equipment in the table header.
Mark an X in the Delete column and draw a line through the description of items you no longer own.
Mark an X in the Add column and enter the information for items you have acquired.
Mark an X in the Personal Use Only column if the item is used for your personal domestic use only.
Enter quantity as of January 1, 2014.
Physical Address:
For dept
Quantity
Acquired
For dept
use only
Description
use only
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Curr
Prev
Year
Cost
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