Annual Return To South Kingstown Form - R.i. Tax Assessor Page 4
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4SECTION 9 SIGN YOUR RETURN
I do hereby certify and declare that, to the best of my knowledge and belief, the foregoing is a true and complete list of
all real estate and personal property owned by said Corporation, Co-Partnership or Individual in or ratable in said
Town/City on the said thirty-first day of December, 2015 at 12 o’clock midnight, Eastern Standard time; that the value
placed against each item thereof is the full and fair-cash value thereof at said time.
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and
statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer
Please
(other than officer) is based on all information of which preparer has any knowledge.
Sign
Here
Signature
Date
Preparer’s
Date
Signature ____________________________________________
Check if
Paid
Self-Employed
Preparer’s
Phone Number
Use Only
Firm’s name (or
ZIP code
yours if self-employed) _________________________________
and address
ASSESSOR’S USE ONLY
Total Section 1 ____________________
Total Section 5 ______________ __________
(Real Estate Owned)
(Buildings & Improvements on Leased Land)
Total Section 2 ____________________
Total Section 6 ________________________
(Short Life – Computer Equipment Only)
(Leased/Rented/Consigned Tangible Personal P roperty)
Total Section 3 ____________________
Total Section 7 ________________________
(Tangible Personal Property)
(Tangible Property Leased to Others)
Total Section 4 ____________________
Total Section 8 ________________________
(Long Life Assets)
(Leasehold Improvements)
GRAND TOTAL __________________________________
If you are no longer in business, please state the date the business closed and where the assets
are, then return the form to us. Failure to respond by January 31, 2016 will result in a 2016
Tax Bill.
Leasing Companies: Please provide disposition list. If you no longer hold the leases, we need
to know where the equipment went – was it sold to lessee, returned to you, other, etc.
If you want a copy of your annual return when it is processed by the Tax
Assessor or a copy of your approved request for an extension, you must provide
a self-addressed envelope with the appropriate postage.
Thank You
This form is available on our website: . Click at forms, and then scroll
to Tax Assessment. Choose “Businesses/Personal Property”.
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