Business Personal Property Reporting Form - 2013 Page 9
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9LEASED PROPERTY REPORTING FORM
This form is to report property owned by others which is leased to you and is not reported elsewhere in this report. It is your responsibility to furnish the requested
information even if you are not liable for the taxes on the property. Fill in ALL spaces for each leased item. If you need more space please attach a supplemental
sheet. If you do not have any leased property, write “NONE” in box 1 and return this form.
TAX
LESSOR
EQUIPMENT INFORMATION
RESPONSIBILITY
NAME
DESCRIPTION
YEAR ACQUIRED
1
CHECK ONE
STREET/BOX
LESSOR
MAKE
MODEL
YEAR NEW
CITY, STATE, ZIP
LESSEE
ORIGINAL COST
ANNUAL PAYMENT
NAME
DESCRIPTION
YEAR ACQUIRED
2
CHECK ONE
STREET/BOX
LESSOR
MAKE
MODEL
YEAR NEW
CITY, STATE, ZIP
LESSEE
ORIGINAL COST
ANNUAL PAYMENT
NAME
DESCRIPTION
YEAR ACQUIRED
3
CHECK ONE
STREET/BOX
LESSOR
MAKE
MODEL
YEAR NEW
CITY, STATE, ZIP
LESSEE
ORIGINAL COST
ANNUAL PAYMENT
NAME
DESCRIPTION
YEAR ACQUIRED
4
CHECK ONE
STREET/BOX
LESSOR
MAKE
MODEL
YEAR NEW
CITY, STATE, ZIP
LESSEE
ORIGINAL COST
ANNUAL PAYMENT
NAME
DESCRIPTION
YEAR ACQUIRED
5
CHECK ONE
STREET/BOX
LESSOR
MAKE
MODEL
YEAR NEW
CITY, STATE, ZIP
LESSEE
ORIGINAL COST
ANNUAL PAYMENT
NAME
DESCRIPTION
YEAR ACQUIRED
6
CHECK ONE
STREET/BOX
LESSOR
MAKE
MODEL
YEAR NEW
CITY, STATE, ZIP
LESSEE
ORIGINAL COST
ANNUAL PAYMENT
Page 7 of 7
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