Form B-17 - Supplemental Schedule To Form 571-L For Hotels And Motels - 2018

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SUPPLEMENTAL SCHEDULE TO FORM 571-L
2018
2018
FOR
HOTELS AND MOTELS
NAME
ROUTE
SITUS
COMPANY NO.
LOCATION OF PROPERTY
GENERAL INFORMATION (Complete this Section)
NO. OF ROOMS:
COST DETAIL: EQUIPMENT
TYPE OF FACILITY (Check One):
TOTAL
LUX
STD
ECON
Include equipment expensed and fully depreciated items. Include sales or use tax, freight
RESTAURANT:
BAR:
BANQUET ROOM:
and installation costs. Attach schedules as needed. Lines 18 and 30 “Prior” - Report detail
by year(s) of acquisition on a separate schedule.
YES
NO
YES
NO
YES
NO
80
22
81
82
L
HOTEL FURNISHINGS
OFFICE FURNITURE
CALENDAR
SIGNS, RESTAURANT,
I
YEAR
AND
TELEVISIONS
AND
KITCHEN AND
N
OF
E
TELEPHONE SYSTEM
EQUIPMENT
LAUNDRY EQUIPMENT
ACQUI-
N
SITION
COST
ASSESSOR’S USE ONLY
COST
ASSESSOR’S USE ONLY
COST
ASSESSOR’S USE ONLY
ASSESSOR’S USE ONLY
COST
O.
1
2017
2
2016
3
2015
4
2014
5
2013
6
2012
7
2011
8
2010
9
2009
10
2008
11
2007
12
2006
13
2005
14
2004
2003
15
2002
16
2001
17
18
Prior
0
0
0
0
19
Total
25
L
83
OTHER SUPPLIES
L
COMPUTERS,
CALENDAR
I
I
See Instructions - reverse
CARPETS, DRAPES
RESERVATION SYSTEM,
N
N
YEAR
RESTAURANT, KITCHEN
BEDDING, UNIFORMS,
E
E
OF
ETC.
AND BAR SUPPLIES
LINEN (OWNED), ETC.
ACQUI-
N
N
SITION
COST
COST
COST
COST
ASSESSOR’S USE ONLY
ASSESSOR’S USE ONLY
ASSESSOR’S USE ONLY
ASSESSOR’S USE ONLY
O.
O.
33
20
2017
34
21
2016
35
22
2015
36
23
2014
37
24
2013
38
25
2012
39
26
2011
40
27
2010
41
28
2009
42
29
2008
43
30
Prior
0
0
0
0
44
31
Total
0
32
Add totals on lines 19 and 31 (not line 44). Enter here and on line 6, Part II, page (P1) of Form 571-L.
TAXPAYER’S REMARKS
ASSESSOR’S USE ONLY
B-17 (REV. 9-17)

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