Form Otc 904-3-P - Petroleum Related Asset Listing - 2016
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State of Oklahoma
Tax Year
OTC
Petroleum Related Asset Listing
904-3-P
2016
___________________________________County
Return to County Assessor - Filing Date: January 1 - March 15
Revised 11-2015
Taxpayers filing OTC Form 901-P in _________________________________ County: Must complete this schedule listing like or similar
items grouped by description, year of acquisition, total acquistion cost. This schedule to be filed with completed OTC Form 901-P.
Name, Address and Personal Property Account Number
Name of Business: _______________________________________ Email Address: ____________________________
Address: __________________________________________________________________________________________
Personal Property Account Number: ____________________________
Phone Number: ________________________
Report Only Tangible Assets
Leasehold Improvements
Location/Situs
Year Acquired
Item
Description
Total Acquisition
Number
1/4
SEC
TWP
RG
New
Used
TOTAL
Furniture and Fixtures
Location/Situs
Year Acquired
Item
Description
Total Acquisition
Number
1/4
SEC
TWP
RG
New
Used
TOTAL
Computers and Electronic Equipment
Location/Situs
Year Acquired
Item
Description
Total Acquisition
Number
1/4
SEC
TWP
RG
New
Used
TOTAL
Tools, Machinery, and/or Equipment
Location/Situs
Year Acquired
Item
Description
Total Acquisition
Number
1/4
SEC
TWP
RG
New
Used
TOTAL
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