2013 FORM 355, PAGE 3
FEDERAL IDENTIFICATION NUMBER
CORPORATION NAME
Schedule
Balance Sheet
2013
A.
B. ACCUMULATED DEPRECIATION
C.
ASSETS
ORIGINAL COST
AND AMORTIZATION
NET BOOK VALUE
1
Capital assets in Massachusetts:
a. Buildings . . . . . . . . . . . . . . . . . .
1a
b. Land. . . . . . . . . . . . . . . . . . . . . .
1b
c. Motor vehicles and trailers . . . .
1c
d. Machinery taxed locally . . . . . . .
1d
e. Machinery not taxed locally. . . . . . 1e
f. Equipment . . . . . . . . . . . . . . . . . . . 1f
g. Fixtures . . . . . . . . . . . . . . . . . . . . . 1g
h. Leasehold improvements taxed
locally . . . . . . . . . . . . . . . . . . . . . . .
1h
i. Leasehold improvements not
taxed locally . . . . . . . . . . . . . . . . . . . . 1i
j. Other fixed depreciable assets . . . . 1j
k. Construction in progress. . . . . . . . 1k
l. Total capital assets in Massachusetts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1l
2
Inventories in Massachusetts:
a. General merchandise . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a
b. Exempt goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2b
3
Supplies and other non-depreciable assets in Massachusetts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4
Total tangible assetts in Massachusetts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
5
Capital assets outside of Massachusetts:
a. Buildings and other depreciable
assets . . . . . . . . . . . . . . . . . . . . . . . . . 5a
b. Land. . . . . . . . . . . . . . . . . . . . . . . . 5b
6
Leaseholds/leasehold improvements
outside Massachusetts . . . . . . . . . . . . 6
7
Total capital assets outside
Massachusetts . . . . . . . . . . . . . . . . .
7
BE SURE TO CONTINUE SCHEDULE A ON OTHER SIDE