Form Otc935 - Individual Household Personal Property Page 2

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Individual Household Personal Property - Page 2
Part II-B (continued): List Personal Property
All household goods, furniture, appliances, gold and silver, lawn and garden, musical instruments, recreational equipment,
watches, jewelry and personal, private or professional libraries, etc. (Ref. Title 68, O.S. 2807)
Item
Description
Year
Value
Number
(Type, Size, Brand, Etc.)
Acquired
Total Value
$
I the undersigned, affirm and attest, that all information provided and herein contained are true, correct and complete.
Don’t Forget
____________________________________________________
_____________________________________________
Signature of Taxpayer
Date
to Sign
____________________________________________________
_____________________________________________
Signature of Preparer
Preparer’s Address
__________________________
_______________________
_____________________________________________
Preparer’s Identification Number
Phone Number
Preparer’s City, State, Zip
Assessor Only:
(Part II-A, Part II-B) ......... $ ___________________
Total of Value
X Assessment _________% ......... $ ___________________
Less Exemptions ......... $ ___________________
________________________________________________
Assessor/Deputy
Penalty _________% ......... $ ___________________
________________________
Net Assessed Value ......... $ ___________________
Date

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