Form Ptf 693 - Business Equipment Tax Exemption Application

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Business Equipment Tax Exemption Application
(Title 36 § 691 – 700B)
Annual Application for Tax Year April 1,_____________
Name of Business: _____________________________________ Type of Business___________________________
Name of Owner: _____________________________________________ Location _____________________________
Ownership: _____ sole proprietor _____ corporation _____ LLC Partnership _____ Other:___________________
Is this property located in a tax increment financing (TIF) district
Yes___________
No _________________
Date First
Life
Date Purchased
Purchase
Current
Placed in
Item Description
Expectancy
or Acquired
Price
Value
Service
(years)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
[An individual who knowingly gives false information for the purpose of claiming this exemption commits a Class E Crime]
Applicant (or property owner) signature: Under penalties of perjury, I declare that I have examined this application and
accompanying schedules and, to the best of my knowledge and belief, they are true, correct and complete.
Declaration of preparer (other than applicant) is based on all the information of which the preparer has knowledge.
Signatures
Applicant ________________________________________ Date __________ Telephone # ___________________
Preparer ________________________________________
Date __________ Telephone # ___________________
PTF 693
Page 1
01/08

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