LEASED
61A200(N1) (11-08)
REPORT OF OPERATING
N1
Commonwealth of Kentucky
REAL PROPERTY LOCATED IN KENTUCKY
DEPARTMENT OF REVENUE
BY TAXING DISTRICT
Page _______
As of December 31, 2008
Name of Taxpayer ______________________________________________________________________________
If you lease any real property on an operting lease basis and that property is located within the Commonwealth of Kentucky, this form must
be completed for each separate lease. The Kentucky reported values are to be totaled and reported on Schedule A in the appropriate category.
Also, the Kentucky reported values are to be reported on Schedules K and K2. Remember, operating leased property is not recorded on the
Balance Sheet. Capital leased real property is recorded on the Balance Sheet. Do not report capital leased personal property on this form.
Kentucky County:
Street:
City:
Kentucky Airport (If Applicable):
Examples of Leased Real Property:
Land
Right of Ways
Improvements
Pipelines & Transmission Lines
Buildings
Storage Space
Office Space
Kiosk Space
Warehouses
Railroad Trackage
Description & Type of Leased Real Property:
Name of Owner/Lessor:
Monthly Lease Payment:
$
Annual Lease Payment: $
Beginning Date of Lease:
Ending Date of Lease:
Do you Sublease the Property to Others?
YES
NO
Name of Sub-Lessee:
Has the Local Kentucky Assessor Taxed this
Property in the Name of the Actual Owner?
YES
NO
UNKNOWN
Is this Property Located in a Foreign Trade Zone?
YES
NO
UNKNOWN
Reported Market Value $