Form 61a200 - Public Service Company Property Tax Return - 2006 Page 43
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4361A209 (11-06)
Page 2
Assets Purchased
In Kentucky
Out-of-State
Number of Access Lines ......................................................
Real Estate ............................................................................
Nonoperating Property .........................................................
Other Tangible Personal Property ........................................
Accounts Receivable ............................................................
Goodwill ...............................................................................
Other
Was the sale or merger accounted for as a purchase or a pooling of interests?
Attach a sheet listing the amount and types of property involved in any assumed operating leases.
Attach a sheet describing any new operating agreements with the seller.
I declare under the penalties of perjury that the information given on this form (and any accompanying statements) has been examined by me and to
the best of my knowledge and belief is true, correct and complete.
Print Name of Representative
Title of Representative
✍
Signature of Representative
Date Signed
(
)
Mail to:
Public Service Branch
Office of Property Valuation
Telephone Number
Kentucky Department of Revenue
200 Fair Oaks Lane, Station 32
Frankfort, KY 40620
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