State Of Wyoming Fire Suppression Exemption Application Form Page 2
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4PART 5 – Installed Cost
23. Installed/Acquired Cost:
24. Annual Depreciation:
25. Acc. Depreciation:
26. Net Book Value:
27. Installed Year:
28. Useful Life:
29. Remaining Life:
(Yrs.)
(Yrs.)
PART 6 – Construction Work In Process
30. CWIP Supplemental Detail:
PART 7 – Certification
31. The forgoing information is submitted in accordance with the provisions of Section 39-11-105, (a), (x), and
they Wyoming Dept. of Revenue Rules & Regulations, and is true and correct to the best of my knowledge,
information and believed under penalty of perjury.
Signature:
Title:
Date:
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