Tangible Personal Property Tax Return Form
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1
2Jim Smith, CFA
TANGIBLE PERSONAL PROPERTY TAX RETURN
STATE OF FLORIDA
Pinellas County Property Appraiser
Confidential §193.074 F.S.
COUNTY OF
Tangible Personal Property Dept.
As Required by §193.052 & §193.062 F.S.
PINELLAS
P .O. Box 1957
RETURN TO COUNTY PROPERTY APPRAISER
BY APRIL 1 TO AVOID PENALTIES
Clearwater, FL 33757-1957
Return Original. No photocopied signatures accepted.
FEDERAL EMPLOYER IDENTIFICATION NUMBER
SOCIAL SECURITY NUMBER
Jim Smith, CFA
Pinellas County Property Appraiser
Tangible Personal Property Dept
P.O. Box 1957
Clearwater, FL
33757-1957
DO NOT DUPLICATE FORM FOR OTHER ACCOUNTS, BARCODES ARE ACCOUNT SPECIFIC.
Mailing Convention: Business Name DBA
(Doing Business As). Then Corporate Name
THIS RETURN IS SUBJECT TO AUDIT WITH ALL RECORDS KEPT BY YOU. INCOMPLETE ENTRIES ARE SUBJECT TO PENALTIES.
1. Please Give Name and Telephone Number of Owner or Person in Charge of This Business.
ADDRESS OR OTHER CORRECTIONS:
Name: _______________________________________________________________________________________
Tel. #: ____________________________________ Fax #: __________________________________________
Corp Name: ____ _______________________________________________________________________________
E-mail Address: ____ ___________________________________________________________________________
st
2. Actual Physical Location of Tangible Property as of January 1
of Current Year:
BOX) ______________________________________________________________
(Street Address -
NOT PO
5. Did You File a Tangible Personal Property Return in Pinellas County Last Year?
________________________________________________________
2a. Sq. Ft.: ______________________
If Yes, Under What Name?, and Where? ____________________________________
Yes
No
3. Date You Began Business in Pinellas County: _________________________________________________
_______________________________________________________________________________________________
Fiscal Year: From ________________________________ to ________________________________________
______________________________________________________________________________________________
4. Describe Type of Business: __________________________________________________________________
6. Former Owner of the Business: ____________________________________________________________
6a. If Business Sold, to Whom? ______________________ ________________________________________ __
Trade Level: (Check as many as apply)
Retail
Wholesale
Manufacturing
7. Location of Accounting Records if Different From Physical Location: ____________________________
Professional
Service
Agriculture
Leasing/Rental
Other
Type of Product or Service: ____ ________________________________________________________________
______________________________________________________________________________________________
TAXPAYER’S ESTIMATE
ORIGINAL
APPRAISER’S
PERSONAL PROPERTY SUMMARY
OF FAIR MARKET
INSTALLED
USE
The Schedules on the REVERSE SIDE Must Be Completed in Detail and TOTALS Entered Below.
VALUE
COST
ONLY
ATTACH ITEMIZED LIST or DEPRECIATION SCHEDULE Showing Original Cost and Date of Acquisition.
8. Office Furniture, Office Machines and Library
9. EDP Equipment, Computers, Word Processors
10. Store, Bar and Lounge, Restaurant Furniture and Equipment, Etc.
11. Machinery and Manufacturing Equipment
12. Professional, Medical, Dental and Laboratory Equipment
13. Hotel, Motel and Apartments - Stove, Refrigerator, Furniture, Drapes, etc.
14. Service Station and Bulk Plant Equipment - Underground Tanks, Lifts, Tools
15. Signs - Billboard, Pole, Wall, Portable, Directional, Etc.
16. Leasehold Improvements - Must be Grouped by Type, Year of Installation and Description
17. Equipment Owned by You but Rented, Leased or Held by Others
18. Supplies - Not held for Resale
19. Other - Please Specify (e.g. I.R.S. Code Section 179 Assets)
TOTAL PERSONAL PROPERTY
I hereby certify that the information and valuations stated above by me are true and correct
APPRAISER’S
to the best of my knowledge and belief. If prepared by someone other than the taxpayer,
INITIALS
his/her declaration is based on all information of which he/she has any knowledge.
PLEASE SIGN AND DATE YOUR RETURN. SEND THIS
DATE: ________________ TITLE: _______________________________________________________
ORIGINAL TO THE PINELLAS COUNTY APPRAISER’S OFFICE
SIGNED: _____________________________________________________________________________
(TANGIBLE PROPERTY OWNER)
BY APRIL 1st. UNSIGNED RETURNS CANNOT BE ACCEPTED
SIGNED: _____________________________________________________________________________
(PREPARER)
BY THE APPRAISER’S OFFICE.
ADDRESS: ___________________________________________________________________________
Questions Call:
NO: ______________________________ PREPARER’S ID: __________________________
PHONE
TURN OVER - SCHEDULES ON REVERSE SIDE MUST BE COMPLETED IN FULL
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