TANGIBLE PERSONAL PROPERTY
DR-405, R. 12/11 , Page 2
Report all property owned by you including fully depreciated items still in use.
ASSETS PHYSICALLY REMOVED DURING THE LAST YEAR
Taxpayer's Estimate
Original Installed
Year
Description
Age
Disposed, sold, or traded and to whom?
of Fair Market Value
Cost
Acquired
Lease
LEASED, LOANED, OR RENTED EQUIPMENT
Complete if you hold equipment belonging to others.
Purchase
Year
Year of
Monthly
Original Installed
Option
Name and Address of Owner or Lessor
Description
Manufacture
Acquired
Rent
Cost
Yes No
SCHEDULE FOR LINE 22, PAGE 1
Equipment owned by you but rented, leased, or held by others. Enter total on page 1.
Taxpayer's
Original
Lease
Name/address of lessee
Year
Monthly
Estimate of Fair
Description
Age
Term
Cond*
Installed Cost
Acquired
Number
Actual physical location
Rent
Market Value
New
APPRAISER’S USE ONLY
SCHEDULES FOR PAGE 1, LINES 10 - 21, 23, and 24
Taxpayer's Estimate
Original Installed
Year
Cond*
Enter line number from page 1.
Age
Acquired
of Fair Market Value
Cost
Value
Description
Cond*
TOTAL
Enter totals on page 1.
TOTAL
TOTAL
Taxpayer's Estimate
Original Installed
Year
Enter line number from page 1.
Cond*
Age
Acquired
of Fair Market Value
Cost
Value
Cond*
Description
TOTAL
Enter totals on page 1.
TOTAL
TOTAL
Taxpayer's Estimate
Original Installed
Year
Enter line number from page 1.
Cond*
Age
Acquired
of Fair Market Value
Cost
Value
Cond*
Description
TOTAL
Enter totals on page 1.
TOTAL
TOTAL
*Condition: enter good, avg (average), or poor.
Add pages, if needed.
See instructions on pages 3 and 4.