Offer In Compromise Application - Tennessee Department Of Revenue Page 19
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25CS-14C
Page 19
SECTION II - ASSETS (continued)
15. Real Property (including Investment Property, Unimproved Land, etc.)
Current Market
Amount
Equity In
Address
Description
Owed
Property
Value
$
$
$
Total (Enter also on Page 3, Item 24-D)
$
16. Vehicles ( Excluding Leased Vehicles)
Tag
Equity In
Current Market
Amount
Make
Model
Year
Description
Number
Value
Owed
Vehicle
$
$
$
Total (Enter also on Page 3, Item 24-E)
$
17. Accounts Receivable
Date Due
Name
Status
Amount Due
(mm/dd/yy)
$
Total (Enter also on Page 3, Item 24-F)
$
18. Loans From Business To Proprietor, Partners, Officers, Shareholders or Others
Payoff Date
Name
Status
Amount Due
Relationship
(mm/dd/yy)
$
$
Total (Enter also on Page 3, Item 24-G)
19. Machinery and Equipment (Including Furniture, Fixtures, Business Machines, etc.)
Amount
Equity In
Current Market
Description
Owed
Mach. & Equip.
Value
$
$
$
Total (Enter also on Page 3, Item 24-H)
$
20. Merchandise Inventory (Goods Held for Sales and/or Raw Materials Used in Manufacture Fabrication or Production)
Equity In
Amount
Current Market
Description
Mach. & Equip.
Owed
Value
$
$
$
Total (Enter also on Page 3, Item 24-I)
$
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial