Supplemental Schedule To Form 571-L For Hotels And Motels - 2017

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SUPPLEMENTAL SCHEDULE TO FORM 571-L
2017
2017
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
2016
2
2015
3
2014
4
2013
5
2012
6
2011
7
2010
8
2009
9
2008
10
2007
11
2006
12
2005
13
2004
14
2003
2002
15
2001
16
2000
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
2016
34
21
2015
35
22
2014
36
23
2013
37
24
2012
38
25
2011
39
26
2010
40
27
2009
41
28
2008
42
29
2007
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. 9-16)

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