2010 P
P
D
– S
F
ERSONAL
ROPERTY
ECLARATION
HORT
ORM
Commercial and financial information is not open to public inspection.
T
P
I
AXABLE
ROPERTY
NFORMATION Give actual acquisition costs including any additional charges for transportation and installation by year for
each type of property described.
COPY AND ATTACH ADDITIONAL SHEETS IF NEEDED
#12 – Commercial Fishing Apparatus
or
#18 – Farm Tools
or
Assessor’s
Circle
Circle
#17 – Farm machinery
#19 – Mechanics Tools
One
One
Use Only
Original cost, trans-
Original cost, trans-
Year
%
Year
%
portation & installation
portation & installation
Ending
Good
Ending
Good
Depreciated Value
Depreciated Value
10-1-10
95%
10-1-10
95%
10-1-09
90%
10-1-09
90%
10-1-08
80%
10-1-08
80%
#12
10-1-07
70%
10-1-07
70%
10-1-06
60%
10-1-06
60%
#17
10-1-05
50%
10-1-05
50%
10-1-04
40%
10-1-04
40%
#18
Prior Yrs
30%
Prior Yrs
30%
Total
Total
Total
Total
#19
#24a All other goods (including leasehold improvements)
#16 – Furniture, fixtures and equipment
Year
Original cost, trans-
%
Year
Original cost, trans-
%
portation & installation
portation & installation
Ending
Good
Ending
Good
Depreciated Value
Depreciated Value
10-1-10
95%
10-1-10
95%
10-1-09
90%
10-1-09
90%
10-1-08
80%
10-1-08
80%
10-1-07
70%
10-1-07
70%
10-1-06
60%
10-1-06
60%
10-1-05
50%
10-1-05
50%
10-1-04
40%
10-1-04
40%
Prior Yrs
30%
Prior Yrs
30%
Total
Total
Total
Total
#16
#24b Rental video tapes
Average # ____ of tapes on hand.
#20 – Electronic data processing equipment
Year
Original cost, trans-
%
Year
Original cost, trans-
%
portation & installation
portation & installation
Ending
Good
Ending
Good
Depreciated Value
Depreciated Value
10-1-10
95%
10-1-10
95%
10-1-09
80%
10-1-09
80%
10-1-08
60%
10-1-08
60%
10-1-07
40%
10-1-07
40%
Prior Yrs
20%
Prior Yrs
20%
Total
Total
Total
Total
#20
In accordance with Section 168 IRS Codes – Computers Only
24a and 24b Total
#24
# 23 – Expensed supplies The average is the total amount
Year
# of
expended on supplies since October 1, 2009 divided by the
Ending
Mo.s
Total Expended
Average Monthly
number of months in business since October 1, 2009
10-1-10
#23
–
Detailed Listing of Disposed Assets Report
If you disposed of, sold, or transferred a portion of the property included in last year’s filing,
complete the following. DO NOT INCLUDE DISPOSALS IN TAXABLE PROPERTY REPORTING
Date Removed
Code #
Description of Item
Date Acquired
Acquisition Cost
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