2015
BUSINESS RETURN OF TANGIBLE PERSONAL PROPERTY AND MACHINERY AND TOOLS
Fairfax County Department of Tax Administration, 12000 Government Center Parkway, Suite 223, Fairfax VA 22035
Phone: 703-222-8234 Fax: 703-324-3500 or 703-324-3505
Web Site:
Property reported on this form is not proratable.
FILE BY MAY 1, 2015 (See brochure for instructions)
PLEASE ENTER INFORMATION BELOW:
OWNER NAME
TRADENAME
MAILING ADDRESS
UNIT/SUITE#
DATE BUSINESS BEGAN
IN FAIRFAX COUNTY
NAICS CODE
DATE BUSINESS ENDED
IN FAIRFAX COUNTY
FEDERAL I.D./EMPLOYER ID#
FOR OFFICE USE ONLY
DATE RECEIVED
ACCOUNT NUMBER
CD/
DISK
PP
LIC
BDB
IF PRINTED INFORMATION ON THIS FORM IS INCORRECT OR INCOMPLETE, PLEASE UPDATE
BUSINESS LOCATION
ON JANUARY 1, 2015
UNIT/SUITE #
CITY/STATE
ZIP
SCHEDULE 1
Report the total original cost by year of all personal property (except computer equipment listed in
Schedule
2)
owned and located in Fairfax County on January 1,
2015.
Attach a detailed asset list.
PROPERTY NUMBER
YEAR
PURCHASED
PROPERTY COST
REPORTED IN 2014
PROPERTY COST BY YEAR OF PURCHASE
DISPOSED
ACQUIRED
TOTAL COST
VALUE
2014
DO NOT ALTER THIS COLUMN
80%
2013
70%
2012
60%
2011
50%
*
2010
40%
2009
30%
2008 &
prior
20%
SCHEDULE 2
Report the total original cost by year of all computer equipment owned and located in Fairfax
County on January
1, 2015.
Attach a detailed asset list.
PROPERTY NUMBER
YEAR
PURCHASED
COMPUTER EQUIPMENT COST
REPORTED IN 2014
COMPUTER COST BY YEAR OF PURCHASE
DISPOSED
ACQUIRED
TOTAL COST
VALUE
2014
DO NOT ALTER THIS COLUMN
50%
2013
35%
2012
20%
2011
10%
201 0 &
prior
2%
Schedule 3: Leased Tangible Property: List below all operating leases for personal property leased or rented from others. Capitalized
leases are to be reported on Schedule 1 or Schedule 2 depending on type of property. A copy of the lease agreement may be furnished in
Name/Address/Phone of Owner
Start/End Dates
Description of Property
Original Cost
Purchase Option
|
| Bargain (e.g.,$1) buyout
I
I Fair Market Value, other
|
| Bargain (e.g.,$1) buyout
|
| Fair Market Value, other
It is a Class 1 misdemeanor for any person to willfully subscribe a return that he does not believe to be true and correct as to every material matter (Code of
Va Sec. 58.1-11), Declaration: I declare that the statement and figures herein given are true, full and correct to the best of my knowledge and belief.
TAXPAYER'S SIGNATURE
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DATE
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