Tangible Property Form - Burrillville Page 2
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4Please complete the itemized list of all Furniture, Fixtures, and Equipment (Including signs and unregistered motor vehicles)
owned by you or your firm on the next page, and report the total of each class by year of acquisition in the appropriate box
below. IMPORTANT - Be sure to declare all acquisitions still in use, even though fully depreciated on your books. All equipment
that you rent, lease or consign is to be listed only on the last page of this form in the appropriate section.
Manufacturers: Please include all assets NOT used directly in the actual manufacturing process.
Leasing Companies: Please provide disposition list indicating if the equipment was sold to lessee, returned, or other.
CLASS I - SUMMARY OF SHORT LIFE EQUIPMENT (ONLY AS DEFINED BY RIGL § 44-5-12.1)
All PC computers, peripherals and computer software should be reported in this category
Please summarize all Class I assets by year in this section. Only assets listed as Class I in the above statute are to be listed in this section.
Assessor’s Use Only
Calendar Year Purchased
Acquisition Cost
Depreciation Rate
Declared Value
2015
5%
2014
20%
2013
40%
2012
70%
2011 & Prior
80%
TOTALS
CLASS II –SUMMARY OF MID-LIFE EQUIPMENT
Please summarize all Class II assets by year in this section.
Please include items such as all typical furniture, fixtures, equipment as well as any item not listed as Class I or Class III in the above statute.
Assessor’s Use Only
Calendar Year Purchased
Acquisition Cost
Depreciation Rate
Declared Value
2015
5%
2014
10%
2013
20%
2012
30%
2011
40%
2010
50%
2009
60%
2008 & prior
70%
TOTALS
CLASS III - LONG LIFE ASSETS
Please summarize all Class III assets by year in this section.
Assessor’s Use Only
Calendar Year Purchased
Acquisition Cost
Depreciation Rate
Declared Value
2015
5%
2014
10%
2013
15%
2012
20%
2011
25%
2010
30%
2009
35%
2008
40%
2007
45%
2006
50%
2005
55%
2004
60%
2003
65%
2002 & Prior
70%
TOTALS
Inventory -
Note: Inventory for sale (wholesale or retail) or Manufacturing Raw Materials is not to be reported here.
Average amount of inventory (all goods, wares, supplies and
merchandise) kept on hand and used in the operation of your business
Sub Total Class I, II, III and Inventory
$
The information on this form is confidential. It is only available to assessment personnel and is not subject to public inspection.
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