Form M-65-1 - Manufacturing Machinery And Equipment Exemption Claim

Itemized Listing Of Manufacturing Machinery And Equipment

2010 Grand List

INSTRUCTIONS:

Provide IRS Classification;* Please refer to IRS Code Section 168(e). Do

Print or type only. You may submit a computer printout containing All

Not Provide Class Life

The information requested on this form is essential to the

Required Information In The Prescribed Format.

applicant or machinery and equipment qualifying for

List only manufacturing machinery and equipment acquired and installed

TERMS:

exemption. Regardless of past practices, M-65 forms

on or after October 2, 2005. Items listed on prior years’ claims must

Total cost of acquisition is the price paid for the property, including the

continue to be listed on this year’s M-65 in order to be considered for

value of a ‘trade-in’, plus the cost of transportation and installation. (If

submitted which are incomplete or do not conform to the

exemption.

installation required real property structural changes, the cost of such

prescribed format will not be accepted. Description of

Do Not Include Sales Tax.

changes cannot be included.)

machinery and equipment should be complete and readily

All monetary amounts should be rounded to the nearest whole dollar.

The purchase price for self-constructed machinery and equipment is the

identifiable. Property described as “miscellaneous”,

Lessees are to provide only their transportation and installation costs

unit cost.

(purchase price will be obtained from lessor).

Date installed for leased property is the beginning date of the lease.

“manufacturing machinery or equipment”, or numeric entries

For leased property, enter Lease ID # beneath the name and address of

are not acceptable.

the lessor.

Inaccurate information may affect qualification for exemption.

Date

Name/Address of Company

IRS*

Transportation/

# of

Acquired

Installed

from whom property was acquired

Classifi-

Purchase

Installation

Total Cost

cation

Property Description & Model ID #

Items

Mo./Day/Yr.

(Seller/Lessor & Lease ID#)

Price

Cost

of Acquisition

Page Total

*Property shall be treated as:

If it has a class life (in years) of:

5 year property . . . . . . . . . . . . . . . . . . . . . .more than 4 but less than 10

Grand Total

7 year property. . . . . . . . . . . . . . . . . . . . . . . 10 or more but less than 16

C.G.S. §12-81(72) provides that failure to file this form in the manner and form, and within the time limit prescribed, shall constitute a waiver of the right to

such exemption for the assessment year, unless an extension of time is allowed under the provisions of §12-81k and upon payment of the late filing

Form M-65-1 - Manufacturing Machinery And Equipment Exemption Claim - 2010 Page 2

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