Schedule Of Leased Equipment And Fixtures Located In Sacramento County As Of January 1 Form - Sacramento County Assessor'S Office

Please attach this schedule to Form 571-L Business Property Statement

Page_____of_____Pages

Sacramento County Assessor's Office

3701 Power Inn Rd, Suite 3000

Schedule of Leased Equipment and Fixtures Located in Sacramento County as of January 1

Sacramento, CA 95826-4329

Telephone: (916) 876-0745

LESSOR:___________________________________________

ADDRESS:_____________________________________

ASSESSOR'S USE

Total Cost/Selling

Does Equipment Cost Include Tax?

Yes

No

Equipment

ONLY

Price

Including Sales Tax

& Installation

Appraised Value

Date &

*Selling Price

ASSESSOR'S USE ONLY

Exact Street Location

Yr. Of

Cost to

Personal

Name of Lessee

Equipment Description Qty.

Duration of

On Date of

Fixtures

of Property

Acquisition

Lessor

Property

Assessor's Parcel #

Lease

Lease

*

Indicate current selling price or selling price new if used.

NOTE:

This form may be replaced by a computer printout following the above format & arranged alphabetically by lessee's name/DBA. You may also submit this form in Excel format on a disk.

For e-mail submission of information in Excel format, please call the Assessor's Office at the number above for our e-mail address.

REV (6-03)