2012 Connecticut
Declaration of Personal Property – Short Form
Who Should File : All owners of taxable personal property. If you no longer
own the above noted business or personal property assessed in your name
last year, you need only to complete the A
B
C
FFIDAVIT OF
USINESS
LOSING OR
M
B
S
B
below and return this declaration to
OVE OF
USINESS OR
ALE OF
USINESS
the Assessor. If you do not, the Assessor must assume that you are still
operating the business or still own and have failed to declare your taxable
personal property.
Complete: Complete the entire declaration. Writing “Same as last year” is not
acceptable. Do not forget the D
L
A
R
ETAILED
ISTING OF DISPOSED
SSETS
EPORT
‟
(page 2) and the L
L
R
(page 4).
ESSEE
S
ISTING
EPORT
Signature Required: The owners shall sign the D
P
ECLARATION OF
ERSONAL
(page 4). The owner‟s agent may sign the declaration, in
P
A
ROPERTY
FFIDAVIT
which case the declaration must be duly sworn to or notarized.
Extension: The Assessor may grant a filing extension for good cause (CGS
§12-42). If a request for an extension is needed, you need to contact the
Assessor in writing by November 1 (or the Monday following if November 1
falls on Saturday or Sunday)
Penalty for late filing – Failure to file timely will result in a penalty equal to
25% of the assessment of the personal property. This declaration must be
filed or postmarked (as defined in C.G.S. Sec. 1-2a) no later than:
Thursday,
November 1, 2012
A
B
T
M
S
B
P
FFIDAVIT OF
USINESS
ERMINATION OR
OVE OR
ALE OF
USINESS OR
ROPERTY
I
of
at
Business or property owners name
Business Name (if applicable)
Street location in «Town»
With regards to said business or property I do so certify that on
Said business or property was (indicate which one by circling):
Date
S
:
OLD TO
Name
Address
M
:
OVED TO
City/Town and State to where business or property was moved
Address
Attach Bill of Sale or Letter of dissolution to this form and return it with this affidavit to the Assessor‟s office
T
:
ERMINATED
The signer is made aware that the penalty for making a false affidavit is a $500.00 fine or imprisonment for one year or both.
Signature
Print name
This form may NOT be used by utility companies, telecommunication companies, lessors,
or persons claiming manufacturing machinery and equipment (Codes 10 or 13)