Form 1029 - Annual Property Report - 2011 Page 10
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16III.
REAL PROPERTY
A. Assessed Real Property
Have there been any changes (additions or losses) to your Real Property in the calendar year immediately preceding the
statutory filing date of this report?
Yes ____
No ____
If No, skip B and C.
If Yes, describe losses and additions in B and/or C below, as appropriate.
If you are filing this report for the first time, list all Real Property in section C as an addition.
B. Losses to, or Transfers of Real Property
If there have been any changes to Real Property owned or leased by your company for the calendar year immediately
preceding the statutory due date of this report which could cause a reduction in value, provide a complete description of
any changes below. These changes include, but are not limited to property destroyed, property removed, and transfers of
ownership.
Description
of Physical
True Cash
Street Address, City or Township,
Date of
Change
Value
Parcel ID
or County and/or Legal Description
Loss
Cost
Total
(office use only)
Total
Attach additional sheets if necessary.
C. Additions to, or Acquisitions of Real Property
If there have been any changes to Real Property owned or leased by your company for the calendar year immediately
preceding the statutory due date of this report which could cause an increase in value, provide a complete description of
any changes below. These changes include, but are not limited to new property acquired or leased, new construction or
other assessable improvements or additions to existing property, omitted property, and previously exempt property for
which an exemption no longer applies.
Description
True Cash
Street Address, City or Township,
Date of
of Physical
Value
Parcel ID
or County and/or Legal Description
Addition
Cost
Change
(office use only)
Total
Attach additional sheets if necessary.
(Office use only)
Total Real Property True Cash Value
The Total Real Property True Cash Value above will be completed AFTER the Assessment and Certification
Division has had the opportunity to review and value the additions and losses. These totals will become part of
the basis for calculating the capped and taxable values for all of your property (both real and personal).
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